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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
$912.01 / $1,584.89 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $3,311.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $575.44 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $954.99 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,047.13