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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
$891.25 / $1,288.25 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $1,412.54 / $2,398.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $537.03 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $891.25 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,071.52 / $1,819.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $891.25 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $1,584.89