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Mississippi 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
$1,743.95 / $3,191.43 / $4,308.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.20 / $883.20 / $883.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.41 / $1,156.41 / $1,156.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.41 / $1,156.41 / $1,156.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.05 / $1,133.57 / $1,190.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,908.36