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Connecticut 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
$852.15 / $1,157.13 / $2,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $440.00 / $1,054.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $321.33 / $1,989.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $538.20 / $668.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.20 / $897.90 / $3,272.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.74 / $1,038.59 / $1,834.63
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.62 / $888.03 / $1,210.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $583.41 / $1,574.15