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Alaska rates for HCPCS 86305

Human epididymis protein 4 (HE4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.80 / $143.60 / $243.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.16 / $69.70 / $87.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.50 / $57.50 / $57.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $23.95 / $29.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.87 / $18.87 / $18.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $83.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.84 / $80.12 / $112.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $38.54 / $102.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.87 / $18.87 / $72.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $26.90 / $57.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $41.62 / $62.79