go back

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
$2,124.14 / $3,603.70 / $5,568.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,179.94 / $2,179.94 / $2,179.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.66 / $2,856.60 / $3,954.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.90 / $1,743.95 / $2,346.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $8,684.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,676.97