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Tennessee 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 / $1,244.58 / $3,211.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.75 / $699.66 / $798.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.44 / $897.00 / $1,704.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.52 / $1,780.25 / $2,812.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.96 / $600.09 / $1,527.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.78 / $4,260.75 / $4,260.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,485.00 / $4,485.00 / $6,727.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $538.20 / $897.00