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West Virginia rates for HCPCS 86304

Immunoassay Tumor Antigen Quantitative Ca 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $160.19 / $238.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $17.05 / $27.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $28.09 / $34.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $26.01 / $28.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $49.61 / $62.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $29.94 / $100.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.26 / $124.33 / $195.64
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $31.64 / $31.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.76 / $41.01