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Kentucky 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
$1,380.38 / $2,398.83 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $338.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $26,302.68 / $54,954.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,454.71 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,122.02