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Tennessee 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
$194.98 / $213.80 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $263.03 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,949.84 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $154.88 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $263.03