go back

New Jersey 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
$1,148.15 / $1,949.84 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,995.26 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $954.99 / $1,380.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $630.96 / $1,288.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,715.19 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $707.95 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $891.25 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $912.01