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Iowa rates for HCPCS 0003U

Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing serum, algorithm reported as a likelihood score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,819.70 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,290.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,230.27 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,148.15 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $3,715.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $2,398.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99