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New Hampshire 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
$291.76 / $641.09 / $1,823.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.35 / $203.19 / $211.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.52 / $504.28 / $1,177.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.20 / $169.32 / $191.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.40 / $952.84 / $1,142.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $299.43 / $1,083.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.50 / $378.09 / $858.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $156.30 / $156.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.97 / $272.33 / $3,375.00