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Missouri rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $36 · 10th–90th $19$1350%10%10th90th$36Professionalmedian $24 · 10th–90th $13$560%5%10%10th90th$24$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $63.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $19.95 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $38.90 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.50 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $34.67 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $25.12