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Maine rates for HCPCS 86316

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

Facilitymedian $48 · 10th–90th $21–$2090%10%20%10th90th$48Professionalmedian $20 · 10th–90th $15–$2510%10%20%10th90th$20$10.0$20.0$50.0$100.0$200.0

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
$20.89 / $47.86 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $194.98 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $29.51 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.89 / $30.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $25.12
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $42.66