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Wyoming rates for HCPCS 86304

Immunoassay for tumor antigen, quantitative; CA 125

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $59.85 / $176.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $18.14 / $18.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.69 / $35.69 / $42.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.01 / $32.00 / $67.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.87 / $41.87 / $41.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $23.95 / $29.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $12.02 / $29.07