go back

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
$1,479.11 / $2,290.87 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,801.89 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $3,801.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $11,481.54 / $26,302.68
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,737.80 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $676.08 / $1,548.82