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Florida 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
$1,737.80 / $6,918.31 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $10,232.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,311.31 / $12,022.64
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $95.50 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,238.72 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $3,801.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,513.56 / $1,513.56