go back

Missouri 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
$807.50 / $1,277.10 / $2,204.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.50 / $826.50 / $1,092.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $997.50 / $4,385.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.85 / $778.31 / $1,663.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.81 / $1,788.28 / $2,278.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.47 / $1,102.47 / $1,102.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.50 / $1,187.50 / $4,512.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $570.00 / $4,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $570.00 / $1,074.45