go back

Arizona 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
$817.35 / $1,794.00 / $3,579.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $600.99 / $5,767.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.78 / $1,973.89 / $3,282.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.32 / $755.70 / $1,076.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.86 / $1,457.63 / $2,623.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.00 / $871.00 / $1,366.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $661.09 / $4,260.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $538.20