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Washington rates for HCPCS 86294

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

Facilitymedian $41 · 10th–90th $26–$1410%10%10th90th$41Professionalmedian $23 · 10th–90th $15–$380%20%10th90th$23$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
$25.70 / $47.86 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $46.77
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $51.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $56.23 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.92 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $51.29
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $25.70 / $128.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $79.43
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $30.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.48 / $28.84