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Indiana rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.44 / $46.06 / $268.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $18.73 / $22.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $19.80 / $62.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.28 / $15.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $22.89 / $29.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $21.85 / $28.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.23 / $20.81 / $53.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $23.95 / $52.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.59 / $35.59 / $35.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $20.81