go back

Virginia rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.78 / $144.50 / $260.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $18.77 / $24.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $20.81 / $101.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $10.28 / $12.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.63 / $94.19 / $140.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $53.04 / $107.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $13.96 / $23.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $26.01 / $30.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.44 / $18.14 / $21.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.42 / $31.47 / $49.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $28.49 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $27.74 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.30 / $20.81