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Oklahoma 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 / $897.00 / $2,152.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.78 / $663.78 / $959.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.15 / $852.15 / $897.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.01 / $589.55 / $1,160.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.60 / $1,030.84 / $1,309.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $609.96 / $4,260.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $1,121.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $574.08