go back

Connecticut 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 / $2,511.89 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,819.70 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,890.45 / $6,760.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $812.83 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,073.80 / $14,454.40
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,677.35 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $4,365.16