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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
$665.00 / $950.00 / $1,710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $893.00 / $893.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.99 / $1,914.25 / $2,137.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.56 / $1,091.56 / $1,602.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $722.00 / $1,710.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.50 / $1,128.17 / $1,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $1,187.50 / $1,377.50