go back

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
$263.03 / $263.03 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $398.11 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $104.71 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $309.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $426.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $263.03 / $389.05