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Louisiana 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
$1,000.00 / $1,380.38 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $102.33 / $1,174.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,819.70 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $1,318.26