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South Carolina rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $137.81 / $574.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $18.77 / $27.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $29.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.64 / $114.07 / $231.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $25.00 / $52.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.83 / $60.34 / $126.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $13.10 / $29.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $24.04 / $40.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $29.81 / $38.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $16.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.49 / $29.07