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Washington, DC 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
$1,862.09 / $1,862.09 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,905.46 / $2,041.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,995.26 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,265.80 / $9,549.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $3,162.28