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Nebraska 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
$1,778.28 / $6,606.93 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,905.46 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,890.45 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,019.95 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,659.59 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $7,244.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $4,365.16 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,398.83 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,513.56 / $2,511.89