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Utah 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
$851.14 / $4,570.88 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $831.76 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $4,570.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $870.96 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $954.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $575.44