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Delaware rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $85.21 / $250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $24.30 / $24.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $13.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.92 / $23.95 / $38.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $55.35 / $97.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $31.22