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Nationwide rates for HCPCS 0120U

Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissue, algorithm reported as likelihood for primary mediastinal B-cell lymphoma (PMBCL) and diffuse large B-cell lymphoma (DLBCL) with cell of origin subtyping in the latter

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.92 / $3,622.23 / $7,530.63	Facility	$2,070.92	$3,622.23	$7,530.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,757.15 / $2,033.27 / $2,359.60	Professional	$1,757.15	$2,033.27	$2,359.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,322.82 / $2,723.51 / $7,589.12	Facility	$2,322.82	$2,723.51	$7,589.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,500.00 / $2,333.30	Professional	$1,275.00	$1,500.00	$2,333.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.21 / $4,225.94 / $7,382.16	Facility	$2,311.21	$4,225.94	$7,382.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,913.24 / $3,057.46 / $3,663.18	Professional	$2,913.24	$3,057.46	$3,663.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,649.66 / $2,649.66 / $3,346.94	Facility	$2,649.66	$2,649.66	$3,346.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $3,346.94	Professional	$1,054.29	$1,506.13	$3,346.94

Nationwide rates for HCPCS 0120U

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