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Montana 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
Professional
Modifier
Low / Median / High Price
$1,031.55 / $5,767.71 / $5,767.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.65 / $1,749.15 / $2,650.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.84 / $1,300.65 / $1,300.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.65 / $1,749.15 / $2,650.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.30 / $897.00 / $1,300.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $897.00