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New Jersey 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
$1,155.43 / $2,092.73 / $8,963.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.33 / $1,481.33 / $1,481.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.71 / $2,576.26 / $5,491.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.38 / $894.38 / $894.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.15 / $2,284.57 / $3,177.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.77 / $1,220.77 / $8,702.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,533.58