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Maine 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
$260.50 / $260.50 / $651.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.01 / $211.01 / $260.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.09 / $343.91 / $900.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $104.20 / $169.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.07 / $275.39 / $374.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.50 / $260.50 / $263.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.50 / $260.50 / $651.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.01 / $260.50 / $260.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.30 / $156.30 / $377.73