go back

Alaska rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $758.58 / $3,388.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $2,570.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,818.38 / $3,019.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $1,513.56 / $2,290.87