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Arkansas rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.38 / $54.36 / $207.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $32.38 / $37.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.60 / $34.70 / $34.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $21.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $13.53 / $20.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $25.70 / $52.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $23.95 / $29.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.82 / $20.82 / $20.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $20.93