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Ohio 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
$717.60 / $1,313.20 / $2,762.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $717.60 / $1,231.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.05 / $986.70 / $1,587.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.15 / $358.80 / $968.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.45 / $951.63 / $1,390.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.45 / $1,166.09 / $2,152.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.69 / $922.97 / $3,061.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.30 / $583.04 / $1,737.82
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.60 / $923.55 / $3,061.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $482.65 / $1,737.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.75 / $773.66 / $1,076.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $538.20 / $1,175.07