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New Jersey 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
$1,330.41 / $3,326.03 / $14,358.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.41 / $1,957.96 / $2,133.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.73 / $3,708.15 / $7,904.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.15 / $3,288.38 / $4,573.60
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $2,711.10 / $12,381.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $2,711.03