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Illinois rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $71 · 10th–90th $25–$1860%5%10th90th$71Professionalmedian $19 · 10th–90th $14–$480%20%10th90th$19$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$26.30 / $70.79 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $54.95 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $14.45 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $47.86 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.99 / $38.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $41.69 / $213.80
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $20.89