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North Carolina rates for HCPCS 0313U

Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, negative, low probability of neoplasia or positive, high probability of neoplasia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,880.00 / $2,880.00 / $2,880.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.00 / $2,880.00 / $3,060.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.46 / $2,974.14 / $9,450.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,880.00 / $3,600.00 / $5,220.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.00 / $2,340.00 / $3,600.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,960.00 / $5,508.00 / $6,894.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.00 / $2,160.00 / $3,600.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,264.00 / $17,100.00 / $17,100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,928.00 / $17,928.00 / $27,000.00