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Nebraska rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.75 / $168.59 / $330.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $18.87 / $57.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $10.41 / $10.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $31.62 / $34.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $29.94 / $47.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $40.93 / $218.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $53.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.49 / $42.42 / $65.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.99 / $46.00 / $59.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $12.49 / $41.62