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Georgia rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $691.83 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $831.76 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $1,148.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $870.96 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $691.83 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $1,096.48