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New Mexico 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
$672.75 / $1,345.50 / $2,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.77 / $1,076.40 / $5,767.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.50 / $4,785.93 / $8,039.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.32 / $733.75 / $843.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.04 / $583.04 / $583.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.71 / $1,030.84 / $1,288.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.35 / $1,390.35 / $1,462.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $852.15 / $1,076.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.54 / $1,031.55 / $1,246.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $538.20