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Massachusetts 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
$660.69 / $2,137.96 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $912.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $1,380.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,041.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,949.84