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Kansas 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
$1,698.24 / $3,630.78 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,162.28 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,737.80 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,737.80 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,445.44