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Louisiana 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
$950.82 / $1,236.07 / $4,397.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.77 / $1,067.43 / $1,231.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.08 / $1,751.75 / $3,243.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $93.98 / $685.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $897.00 / $897.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.11 / $1,009.01 / $4,168.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.60 / $911.35 / $1,740.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $538.20 / $1,345.50