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South Carolina rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $98 · 10th–90th $20$3800%5%10th90th$98Professionalmedian $19 · 10th–90th $16$350%20%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0

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
$20.42 / $97.72 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $117.49 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $85.11 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $30.20
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $23.99 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $28.84