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Nebraska rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $85 · 10th–90th $24–$3240%10%10th90th$85Professionalmedian $31 · 10th–90th $13–$780%10%20%10th90th$31$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$30.90 / $87.10 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $54.95 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $51.29 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $38.90 / $218.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.59 / $38.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $42.66
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.59 / $22.91