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Massachusetts 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
$776.25 / $3,467.37 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,412.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $8,317.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,584.89 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,570.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,951.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $3,162.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $8,317.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,659.59 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,584.89 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $2,290.87