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Utah rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.84 / $115.88 / $138.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $18.73 / $24.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $18.30 / $57.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $23.95 / $29.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $23.93 / $93.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $17.10 / $23.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $11.91 / $12.49