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Wisconsin rates for HCPCS 81503

Onco (Ovarian) Biochemical Assay Five Proteins

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.40 / $1,345.50 / $2,000.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.77 / $843.18 / $1,231.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.55 / $2,332.19 / $2,466.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.80 / $618.92 / $3,842.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.99 / $2,192.19 / $2,278.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.17 / $2,884.25 / $4,424.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.84 / $2,415.44 / $2,744.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $807.30 / $1,763.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $843.18 / $4,260.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.50 / $717.60 / $2,484.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $85.00 / $897.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.50 / $807.30 / $1,763.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.42 / $2,138.81 / $2,999.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $1,794.00 / $4,260.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.41 / $4,485.00 / $4,485.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,910.20 / $1,910.20 / $1,910.20
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.87 / $4,897.62 / $4,897.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.65 / $538.20 / $1,669.68