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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
$436.52 / $851.14 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $2,089.30 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $2,290.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,041.74 / $2,511.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $954.99 / $1,778.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,584.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $6,760.83 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,071.52 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $933.25 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $954.99 / $1,778.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $489.78 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $1,513.56