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Ohio 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
$608.00 / $1,236.90 / $2,340.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.00 / $608.00 / $722.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $304.00 / $1,216.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $988.00 / $17,784.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.63 / $1,661.98 / $21,034.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $782.50 / $2,939.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $873.50 / $1,101.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $782.50 / $2,939.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $494.00 / $494.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.60 / $273.60 / $684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $456.00 / $912.00