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Massachusetts rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $79.95 / $184.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $18.87 / $24.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.98 / $37.61 / $109.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $20.81 / $50.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.52 / $58.16 / $101.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $19.55 / $26.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $30.92 / $71.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $23.01 / $35.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $29.87 / $35.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $28.84 / $77.48
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $27.52 / $115.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $109.00 / $109.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $13.95 / $43.94
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.26 / $23.39 / $33.21
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $21.45 / $26.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.95 / $39.67