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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
$363.08 / $660.69 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $501.19 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $812.83 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $302.00 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $398.11