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California 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
$440.00 / $440.00 / $5,767.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $457.77 / $5,767.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.06 / $1,549.93 / $4,422.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $376.74 / $2,287.35
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $648.53 / $2,529.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.14 / $583.04 / $1,457.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.04 / $1,262.89 / $2,935.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.71 / $1,054.86 / $1,732.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $1,210.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.60 / $986.70 / $1,621.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.20 / $4,260.75 / $4,260.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,485.00 / $4,485.00 / $6,727.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.20 / $538.20 / $1,076.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $914.94 / $2,141.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.20 / $959.60 / $1,732.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,148.47 / $3,148.47 / $3,148.47
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.60 / $897.00 / $1,524.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $403.65 / $1,628.86