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Arizona 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
$237.37 / $521.00 / $1,039.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.23 / $189.71 / $1,675.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.72 / $573.26 / $953.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.16 / $219.46 / $312.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.21 / $337.11 / $728.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $253.01 / $397.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.72 / $208.40 / $1,237.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $109.41 / $260.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.45 / $234.45 / $312.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $109.41 / $156.30