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Missouri 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
$221.43 / $350.20 / $604.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.98 / $226.64 / $252.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.50 / $273.52 / $1,202.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.58 / $191.20 / $480.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.78 / $546.42 / $620.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $264.50 / $374.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.72 / $338.65 / $1,237.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $156.30 / $644.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.78 / $260.50 / $312.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $156.30 / $294.63