go back

Arizona rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $64.23 / $105.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $18.87 / $41.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $14.46 / $15.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $43.46 / $76.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $17.54 / $24.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $33.83 / $60.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $25.19 / $31.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $18.14 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.21 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.21 / $16.64