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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

Facilitymedian $1,072 · 10th–90th $955–$4,3650%20%40%10th90th$1,072Professionalmedian $891 · 10th–90th $575–$1,5850%20%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $4,265.80 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $741.31 / $912.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,412.54 / $1,905.46
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $2,187.76 / $2,454.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $954.99 / $1,513.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $954.99 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,905.46
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,148.15 / $1,905.46
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,513.56 / $2,951.21
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,148.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,412.54 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,148.15 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $1,071.52
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $954.99 / $1,698.24