go back

Rhode Island 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
Professional
Modifier
Low / Median / High Price
$1,757.15 / $1,857.56 / $2,058.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,660.88 / $2,956.53 / $3,087.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,326.03 / $3,326.03 / $3,326.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $3,620.48