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Alabama rates for HCPCS 0017M

Oncology (diffuse large B-cell lymphoma [DLBCL]), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of origin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.21 / $2,886.74 / $5,020.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.96 / $2,886.74 / $2,886.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.89 / $652.76 / $878.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.75 / $3,864.00 / $4,559.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.64 / $2,039.55 / $5,433.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,054.29 / $1,506.13