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California rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.31 / $133.81 / $214.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $20.81 / $69.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $12.49 / $18.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.80 / $50.19 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $16.39 / $50.22
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.03 / $89.10 / $264.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $18.43 / $59.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $27.33 / $69.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $25.19 / $36.74
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $20.81 / $33.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $20.81 / $47.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $99.06 / $109.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $26.01 / $41.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $12.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $24.08 / $56.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $20.81 / $41.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.04 / $73.04 / $73.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $18.87 / $25.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $40.24