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Virginia 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
$762.45 / $1,702.51 / $2,762.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.75 / $735.54 / $762.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.00 / $897.00 / $4,368.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $358.80 / $546.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.60 / $807.30 / $1,574.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.44 / $1,498.44 / $4,594.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.72 / $554.34 / $1,597.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $1,076.40 / $1,327.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $672.75 / $1,219.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.00 / $941.85 / $2,152.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.90 / $1,078.19 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.90 / $1,085.73 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $448.50 / $897.00