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Rhode Island rates for HCPCS 86316

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

Facilitymedian $62 · 10th–90th $28–$1320%20%10th90th$62Professionalmedian $19 · 10th–90th $12–$290%50%10th90th$19$10.0$20.0$50.0$100.0

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
$33.88 / $83.18 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $25.70 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $22.91 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $17.38 / $40.74