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Arizona 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
$724.44 / $1,905.46 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $165.96 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $933.25 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $575.44