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Maryland 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
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.16 / $1,395.16 / $1,590.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.53 / $592.53 / $592.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.95 / $2,005.54 / $2,615.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $503.09 / $1,034.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.98 / $888.79 / $888.79