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Michigan rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.47 / $21.59 / $121.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $18.87 / $24.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $14.46 / $53.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $23.54 / $41.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $15.61 / $21.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $20.81 / $56.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $13.53 / $20.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $23.95 / $29.94
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $26.74 / $124.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $24.71 / $33.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $17.23 / $23.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.76 / $18.05