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New Hampshire rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $66 · 10th–90th $23–$2690%5%10%10th90th$66Professionalmedian $19 · 10th–90th $13–$520%10%10th90th$19$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
$23.44 / $67.61 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.49 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $79.43 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $21.38 / $60.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $36.31 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $17.38 / $77.62