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Delaware 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
$2,886.74 / $2,886.74 / $2,886.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.84 / $1,681.84 / $2,083.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $5,522.46