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Maine 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
$954.99 / $954.99 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $6,025.60 / $6,606.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,148.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,412.54