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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
$1,007.00 / $1,370.85 / $4,996.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.00 / $1,130.50 / $1,235.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.46 / $1,751.51 / $2,564.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.35 / $103.46 / $1,224.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.02 / $1,822.75 / $6,708.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $541.60 / $1,330.00