go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$617.50 / $712.50 / $712.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $855.00 / $974.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.50 / $503.50 / $555.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $1,140.00 / $1,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $437.00 / $855.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $475.00 / $475.00