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Arizona rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $50 · 10th–90th $19–$1000%5%10%10th90th$50Professionalmedian $19 · 10th–90th $14–$1320%20%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0

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
$20.42 / $63.10 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $50.12 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $18.20 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.30 / $19.05