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Idaho 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
$467.74 / $467.74 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $457.09 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $275.42 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $223.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $501.19 / $933.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $263.03