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Missouri rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.10 / $53.30 / $147.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $18.55 / $24.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $32.89 / $32.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $21.85 / $96.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $17.17 / $55.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.43 / $43.66 / $116.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $21.08 / $30.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $33.42 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $13.88 / $24.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $26.16