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Florida 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
$776.25 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $933.25 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,137.96 / $8,317.64
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,412.54 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $1,659.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,047.13 / $1,047.13