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Arizona 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
$692.51 / $1,120.24 / $3,032.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.20 / $509.20 / $509.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.93 / $932.02 / $1,550.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.31 / $356.82 / $508.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.52 / $1,235.00 / $2,223.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $926.36 / $1,157.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.20 / $630.79 / $3,610.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $319.20 / $760.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $319.20 / $488.68