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Georgia rates for HCPCS 86316

Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each

Facilitymedian $34 · 10th–90th $19–$1480%5%10%10th90th$34Professionalmedian $19 · 10th–90th $13–$460%10%20%10th90th$19$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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 / $39.81 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.62 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $39.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $27.54 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $15.85 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $41.69 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $23.99 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.80 / $36.31