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Alaska rates for HCPCS 81503

Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.56 / $6,190.20 / $10,517.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,004.95 / $3,004.95 / $3,439.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,477.96 / $2,477.96 / $2,477.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.84 / $1,030.84 / $1,288.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $448.50 / $448.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $2,888.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.50 / $3,318.90 / $3,588.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.30 / $2,018.25 / $3,588.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $448.50 / $448.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.15 / $897.00 / $2,466.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.65 / $1,794.00 / $2,706.44