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Iowa rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $55 · 10th–90th $21–$3550%5%10th90th$55Professionalmedian $30 · 10th–90th $16–$1350%5%10%10th90th$30$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$20.89 / $56.23 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $50.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $51.29 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $26.92
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $354.81 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $17.38 / $52.48
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $20.89