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Illinois 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
$977.24 / $1,659.59 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,288.25 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,041.74 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,148.15 / $1,380.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,288.25 / $1,737.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $954.99