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Vermont 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
Professional
Modifier
Low / Median / High Price
$665.00 / $1,178.00 / $1,178.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.06 / $1,590.06 / $1,590.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.06 / $1,590.06 / $1,590.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.50 / $617.50 / $617.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.96 / $1,120.91 / $2,194.88