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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
$1,380.38 / $3,548.13 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,388.44 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,754.23 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,445.44 / $2,238.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,318.26 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $676.08 / $1,659.59
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $13,182.57