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Arkansas rates for HCPCS 0103U

Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), 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 (24 genes [sequencing and deletion/duplication], EPCAM [deletion/duplication only])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.65 / $1,408.65 / $3,034.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.10 / $1,988.10 / $1,988.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.56 / $2,092.73 / $2,354.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.57 / $1,314.94 / $3,128.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.18 / $1,006.18 / $1,006.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,520.45