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Massachusetts rates for HCPCS 86316

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

Facilitymedian $62 · 10th–90th $22$1410%10%10th90th$62Professionalmedian $20 · 10th–90th $15$660%20%10th90th$20$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$28.18 / $63.10 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $93.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $33.11 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $23.99 / $53.70
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $165.96 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $35.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $57.54
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $45.71 / $120.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $20.89 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $17.38 / $56.23