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Idaho rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.29 / $95.90 / $129.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $27.39 / $40.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $22.05 / $81.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $23.95 / $29.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $36.34 / $43.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $24.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.22 / $46.82 / $76.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $35.50 / $36.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.38 / $34.26