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New Mexico rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $123.25 / $274.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $24.07 / $41.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.45 / $137.83 / $223.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $17.02 / $19.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $13.53 / $13.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $23.95 / $38.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $11.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.54 / $24.97 / $40.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $38.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.30 / $12.76