go back

North Dakota 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 / $891.25 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,905.46 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $954.99 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $977.24 / $1,621.81