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North Dakota 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
$776.25 / $776.25 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,467.37 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,318.26 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,318.26 / $2,137.96