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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
$2,287.30 / $3,700.05 / $10,015.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.29 / $1,882.66 / $2,133.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.97 / $6,569.90 / $10,407.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.07 / $2,395.73 / $11,604.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.18 / $4,405.43 / $7,342.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,681.84 / $2,510.21 / $4,477.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,171.43 / $12,551.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,129.33 / $1,506.13