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Maryland rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $68.31 / $116.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $18.55 / $24.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $19.21 / $30.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $14.40 / $26.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $22.11 / $33.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $26.01 / $31.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $12.49 / $15.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.41 / $20.43