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Washington 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
$893.00 / $2,958.30 / $6,232.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.50 / $893.00 / $921.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.50 / $1,520.00 / $3,924.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $1,945.93 / $7,125.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $2,106.29 / $2,472.16
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.00 / $950.00 / $1,615.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $950.00 / $2,375.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.00 / $1,045.00 / $1,662.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $1,662.50 / $2,945.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $1,187.50 / $1,434.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.50 / $1,558.95 / $2,612.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.70 / $1,848.63 / $2,209.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $399.00 / $1,064.00