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North Carolina 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
$2,523.02 / $2,523.02 / $3,822.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.46 / $743.46 / $1,073.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.14 / $1,700.36 / $4,578.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.98 / $1,117.98 / $2,528.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.98 / $1,117.98 / $1,133.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.95 / $2,668.24 / $3,339.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.99 / $670.79 / $1,743.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.47 / $8,283.76 / $8,283.76
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,684.87 / $8,684.87 / $13,079.63