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West Virginia rates for HCPCS 86316

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

Facilitymedian $45 · 10th–90th $17–$2340%10%10th90th$45Professionalmedian $16 · 10th–90th $13–$250%20%10th90th$16$10.0$20.0$50.0$100.0$200.0$500.0

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
$16.98 / $44.67 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $25.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $50.12 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $39.81 / $100.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $51.29 / $245.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.30 / $28.84