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Kentucky rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $102 · 10th–90th $18–$3240%10%10th90th$102Professionalmedian $19 · 10th–90th $14–$280%20%40%10th90th$19$5.0$20.0$100.0$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
$17.78 / $128.82 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $17.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $28.84
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $28.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $63.10 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $17.38 / $28.84