go back

Missouri 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 / $2,951.21 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $1,698.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $977.24 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,311.31 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $2,089.30 / $8,317.64
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
$467.74 / $1,737.80 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,584.89