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Nebraska 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
$3,467.37 / $4,570.88 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,311.31 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,584.89 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $676.08 / $1,737.80