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Arizona 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
$1,949.84 / $5,011.87 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,128.61 / $7,585.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,511.89 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,511.89 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,511.89 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $1,513.56