go back

Illinois 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
$1,778.28 / $3,311.31 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,344.23 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,137.96 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,137.96 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $2,344.23 / $3,235.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,737.80 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,174.90