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Hawaii 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
$1,438.76 / $1,630.59 / $2,092.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.73 / $2,092.73 / $2,092.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,725.69 / $2,069.19 / $2,288.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.35 / $2,092.73 / $2,441.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.98 / $1,676.97 / $2,092.73