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Utah 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
$234.42 / $1,258.93 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $229.09 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $478.63 / $1,230.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $229.09 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $154.88