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Nebraska rates for HCPCS 86316

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

Facilitymedian $81 · 10th–90th $21–$1320%20%10th90th$81Professionalmedian $36 · 10th–90th $13–$850%10%10th90th$36$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
$41.69 / $83.18 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $53.70 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $40.74 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $26.30 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.59 / $22.91
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $42.66
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $12.59 / $22.91