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Louisiana rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.10 / $67.97 / $145.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $18.87 / $27.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $41.11 / $77.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $22.89 / $35.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $21.02 / $21.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $44.67 / $129.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $13.87 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $37.22