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Wisconsin rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $151 · 10th–90th $31$2400%10%10th90th$151Professionalmedian $19 · 10th–90th $14$1050%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
$46.77 / $194.98 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $83.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $21.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $67.61 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $64.57
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $45.71 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $26.92 / $213.80
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.98 / $46.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $40.74 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $33.88 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $52.48 / $81.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $20.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $18.62 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $16.60 / $46.77