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South Dakota rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $98 · 10th–90th $23$3240%10%10th90th$98Professionalmedian $19 · 10th–90th $17$1120%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
$23.44 / $97.72 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $114.82
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $30.90
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $50.12 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $18.62 / $36.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89