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Alaska rates for HCPCS 81500

Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.54 / $1,797.72 / $3,054.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.54 / $872.68 / $872.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.65 / $719.65 / $719.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.43 / $299.43 / $374.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.72 / $189.72 / $216.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.50 / $260.50 / $838.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.75 / $963.85 / $1,042.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.45 / $586.13 / $1,042.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.72 / $189.72 / $323.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.48 / $260.50 / $716.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.23 / $521.00 / $785.98