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Pennsylvania rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.44 / $85.95 / $161.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $18.63 / $34.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $20.81
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.50 / $93.59 / $618.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.93 / $136.26 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $27.72 / $69.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $23.95 / $36.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $16.64 / $28.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.29 / $56.75 / $139.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $18.25 / $25.05
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.01 / $88.32 / $201.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $82.45 / $181.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $18.87 / $49.18
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.06 / $161.38 / $289.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $31.61 / $69.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $23.95 / $36.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $20.81 / $20.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $20.81 / $29.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $13.67 / $36.46