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Wyoming 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
$897.00 / $897.00 / $897.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.00 / $897.00 / $897.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.25 / $1,390.00 / $2,870.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.20 / $1,794.20 / $1,794.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.84 / $1,288.56 / $1,928.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.74 / $376.74 / $897.00