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Oklahoma rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $47.65 / $133.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $18.73 / $23.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $12.49 / $14.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.29 / $90.37 / $130.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $19.77 / $21.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.54 / $33.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $20.94 / $29.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $109.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.02 / $26.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.94 / $89.94 / $89.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $10.41 / $13.53