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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
$2,511.89 / $2,884.03 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $660.69 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,890.45 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,238.72 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,513.56