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Texas rates for HCPCS 86294

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

Facilitymedian $48 · 10th–90th $19$1290%5%10%10th90th$48Professionalmedian $19 · 10th–90th $12$290%10%10th90th$19$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$19.05 / $47.86 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $89.13 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $14.13 / $24.55
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $45.71 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $21.88 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $281.84 / $281.84
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $21.38 / $21.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $25.70 / $74.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $20.89 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $25.70 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.48 / $25.70