go back

Michigan 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
$245.47 / $245.47 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $295.12 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $316.23 / $562.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $245.47 / $457.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $309.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $302.00 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $263.03