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Lung Nodule Protein Risk Assessment

West Virginia rates for HCPCS 0080U

Helps judge whether a lung nodule found on a scan is likely to be cancerous. It measures two blood proteins — galectin-3-binding protein and M130 protein — in plasma and combines them with five patient risk factors to report a probability rather than a plain measurement.

Facilitymedian $5,248 · 10th–90th $4,365$5,2480%50%10th$5,248Professionalmedian $2,818 · 10th–90th $1,479$3,5480%20%40%10th90th$2,818$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$5,248.07
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$2,818.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$3,548.13