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Nebraska 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
$186.21 / $691.83 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $323.59 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $234.42 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $288.40