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Virginia 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
$221.43 / $494.43 / $802.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.38 / $208.40 / $221.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.50 / $260.50 / $1,268.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.20 / $104.20 / $158.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.40 / $208.40 / $406.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.33 / $574.54 / $1,335.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.54 / $158.18 / $464.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.50 / $312.60 / $385.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.72 / $208.40 / $351.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $307.00 / $615.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.35 / $313.12 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.35 / $315.31 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.30 / $260.50 / $312.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.41 / $130.25 / $260.50