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Maine rates for HCPCS 81503

Onco (Ovarian) Biochemical Assay Five Proteins

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $897.00 / $2,242.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.57 / $726.57 / $897.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.61 / $1,081.06 / $3,100.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.37 / $358.80 / $583.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.28 / $1,913.28 / $1,913.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.60 / $947.96 / $1,288.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $905.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $897.00 / $2,242.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.57 / $897.00 / $897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.20 / $538.20 / $1,300.65