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Alabama 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
$1,737.80 / $1,995.26 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,071.52 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $660.69 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,000.00 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $724.44