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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
$3,235.94 / $3,311.31 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $5,495.41 / $5,888.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $5,495.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,511.89 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,513.56 / $2,754.23