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Utah rates for HCPCS 81503

Onco (Ovarian) Biochemical Assay Five Proteins

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.00 / $440.00 / $1,140.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.00 / $672.75 / $950.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.71 / $788.56 / $2,471.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.66 / $1,030.84 / $1,640.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $1,031.55 / $3,632.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.90 / $967.77 / $1,075.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $538.20