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Arizona 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
$1,348.96 / $3,467.37 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,162.28 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,513.56 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,737.80 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $724.44