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Alaska rates for HCPCS 0003U

Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a likelihood score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,413.10 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,162.28 / $6,760.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,818.38 / $3,090.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,548.13 / $3,801.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,630.27 / $4,570.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $851.14 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,905.46 / $2,884.03