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West Virginia rates for HCPCS 86294

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

Facilitymedian $38 · 10th–90th $20–$380%50%10th$38Professionalmedian $19 · 10th–90th $15–$300%20%10th90th$19$10.0$20.0$50.0$100.0

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
$19.95 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.05 / $30.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $50.12 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $38.02 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $27.54