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Alabama 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.21 / $2,886.74 / $5,020.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.96 / $2,886.74 / $2,886.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.89 / $652.76 / $878.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.75 / $2,453.39 / $3,145.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.67 / $2,039.55 / $5,433.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.30 / $2,231.30 / $2,231.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,054.29 / $1,673.47