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Arizona 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
$2,290.87 / $3,890.45 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,128.61 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,570.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,511.89 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,513.56