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Idaho 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
$1,618.91 / $1,618.91 / $2,332.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.90 / $1,749.15 / $1,749.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.58 / $950.37 / $3,498.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.74 / $1,030.84 / $1,484.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.18 / $1,749.15 / $1,924.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $1,076.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.21 / $807.30 / $1,749.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.50 / $1,794.00 / $3,229.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.45 / $1,577.92 / $1,577.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $1,031.55