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Wisconsin rates for HCPCS 0080U

Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diameter, nodule-spiculation status and nodule location), utilizing plasma, algorithm reported as a categorical probability of malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $9,549.93 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $12,302.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $11,220.18 / $18,197.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,011.87 / $10,964.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $12,302.69 / $20,417.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,311.31 / $16,595.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $6,309.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $5,248.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $8,317.64 / $11,748.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $16,595.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $19,054.61 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $6,760.83