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Indiana 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
$954.99 / $1,479.11 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $794.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $13,803.84 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,148.15 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $954.99