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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
$3,157.04 / $5,244.76 / $8,911.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.00 / $2,546.00 / $2,546.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.50 / $2,099.50 / $2,099.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $873.50 / $1,091.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.70 / $615.60 / $942.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $3,040.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,660.00 / $2,812.00 / $3,040.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.00 / $1,140.00 / $3,040.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.60 / $615.60 / $1,390.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $760.00 / $2,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.00 / $1,520.00 / $2,293.08