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North Carolina rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $92.98 / $189.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $18.55 / $33.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $14.46 / $81.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.25 / $45.54 / $75.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $14.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $22.01 / $54.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $15.31 / $29.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $18.14 / $40.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.32 / $29.81 / $38.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.32 / $285.32 / $778.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $14.54 / $28.39
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.95 / $99.06 / $109.00