go back

New Jersey rates for HCPCS 0045U

Oncology (breast ductal carcinoma in situ), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.69 / $5,131.72 / $22,153.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.69 / $3,020.94 / $3,292.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,785.86 / $8,536.74 / $17,747.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,265.71 / $2,265.71 / $2,265.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,066.65 / $5,073.63 / $7,056.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $13,785.00 / $13,785.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.15 / $2,130.15 / $3,873.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.20 / $2,323.80 / $3,950.46