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Pennsylvania 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
$726.57 / $2,543.00 / $3,751.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $726.57 / $1,231.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,098.15 / $4,128.43 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.66 / $699.66 / $699.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.55 / $1,166.09 / $2,623.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.25 / $1,012.64 / $2,028.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.50 / $717.60 / $1,515.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.37 / $180.37 / $180.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.45 / $2,543.00 / $3,704.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.77 / $735.54 / $3,704.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.56 / $1,345.50 / $1,794.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.54 / $1,304.28 / $2,976.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.19 / $1,012.64 / $2,028.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $897.00 / $986.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $986.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $538.20 / $1,390.35