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Arkansas 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
$3,162.86 / $3,162.86 / $4,367.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.13 / $2,434.90 / $3,162.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.64 / $1,892.70 / $4,503.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.19 / $2,259.19 / $2,259.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $3,413.89