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Virginia 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
$575.44 / $1,584.89 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,981.07 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,479.11 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $870.96 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,122.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $616.60 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $1,584.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $741.31 / $1,023.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $741.31 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $338.84 / $575.44