go back

Illinois 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 / $1,548.82 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $741.31 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $1,202.26 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $1,819.70 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,071.52 / $1,513.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $1,995.26
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $891.25