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New Hampshire 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
$1,258.93 / $2,290.87 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $602.56 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,737.80 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,311.31 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,023.29 / $3,715.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $1,380.38