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Ohio rates for HCPCS 0101U

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (15 genes [sequencing and deletion/duplication], EPCAM and GREM1 [deletion/duplication only])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,454.71 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $331.13 / $2,089.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $24,547.09 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $27,542.29 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,041.74 / $2,238.72
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,778.28 / $4,786.30
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,905.46 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,584.89 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,737.80