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Ohio rates for HCPCS 0016M

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,128.61 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $229.09 / $4,265.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $41,686.94 / $72,443.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $54,954.09 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,073.80
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $7,413.10
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,801.89 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,162.28 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $3,981.07