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Washington, DC 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
$10,673.00 / $10,673.00 / $10,673.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.16 / $1,395.16 / $1,395.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.93 / $2,947.28 / $6,339.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.91 / $2,023.91 / $2,224.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.54 / $3,544.93 / $3,544.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,777.59