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New York rates for HCPCS 86294

Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)

Facilitymedian $45 · 10th–90th $18$780%10%20%10th90th$45Professionalmedian $18 · 10th–90th $10$410%20%10th90th$18$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.05 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $44.67
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $25.70
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $54.95 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $33.88 / $123.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $25.70 / $70.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $50.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.49 / $26.92
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $45.71 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $28.84 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $56.23
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $29.51
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $21.88 / $53.70