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Oklahoma 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
$1,318.26 / $1,737.80 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,122.02 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,737.80 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $870.96