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Delaware rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $45 · 10th–90th $17$2630%10%10th90th$45Professionalmedian $20 · 10th–90th $16$460%20%40%10th90th$20$10.0$20.0$50.0$100.0$200.0

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
$16.60 / $44.67 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.79 / $38.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $54.95 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $14.79 / $28.84