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Ohio rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $44 · 10th–90th $21$1580%5%10%10th90th$44Professionalmedian $19 · 10th–90th $12$500%20%10th90th$19$2.0$5.0$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
$21.88 / $51.29 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.45 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $21.88 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $26.92
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $26.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $20.89 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $26.92 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.80 / $39.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $28.18 / $128.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $10.72 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $18.62 / $25.70
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $20.89 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $25.12