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Rhode Island 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
$1,497.88 / $1,497.88 / $1,497.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.35 / $192.77 / $213.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.50 / $306.82 / $333.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.38 / $195.38 / $195.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $299.43 / $374.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $156.30 / $375.72