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Massachusetts 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
$436.52 / $1,995.26 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $1,737.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,691.53 / $4,265.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $691.83 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,071.52 / $1,819.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,513.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,513.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,691.53 / $4,265.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $891.25 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,513.56