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Vermont rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.66 / $143.66 / $253.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.39 / $36.32 / $36.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.42 / $161.35 / $369.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.84 / $34.84 / $118.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $23.95 / $33.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.84 / $34.84 / $118.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $23.95 / $33.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $18.23 / $56.44