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Indiana 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
$735.54 / $1,031.55 / $3,309.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $735.54 / $852.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.63 / $802.82 / $2,691.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $49.15 / $358.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $1,076.40 / $1,255.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $986.70 / $1,300.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.04 / $897.00 / $2,086.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.88 / $1,030.84 / $1,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $538.20 / $897.00