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West Virginia rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Facilitymedian $162 · 10th–90th $19$2510%10%20%10th90th$162Professionalmedian $16 · 10th–90th $13$280%20%10th90th$16$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
$18.62 / $162.18 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $24.55
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $34.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $50.12 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $39.81 / $100.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $123.03 / $218.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.30 / $28.84