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New Mexico 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
$389.05 / $831.76 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,412.54 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $407.38 / $562.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $309.03 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $154.88