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New Hampshire 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
$2,398.83 / $2,398.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $831.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,819.70 / $5,495.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $4,168.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $1,000.00