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South Carolina 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 / $741.00 / $4,505.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.00 / $741.00 / $760.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,848.60 / $5,848.60 / $6,250.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $997.50 / $1,311.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,726.53 / $2,340.33 / $5,416.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.75 / $555.75 / $555.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.00 / $950.00 / $1,197.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.50 / $522.50 / $522.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $522.50 / $865.08