go back

Maine rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $131.13 / $201.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $24.30 / $31.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $27.78 / $217.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $24.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.73 / $29.09 / $44.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $28.32 / $30.07
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.55 / $131.55 / $131.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $25.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $125.66 / $210.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $23.93 / $27.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $17.01 / $41.11