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Colorado 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
$1,907.76 / $5,284.50 / $9,237.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.13 / $1,907.76 / $2,359.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,652.79 / $7,003.49 / $11,546.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.28 / $1,054.28 / $2,510.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,435.84 / $1,680.59 / $7,668.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,074.38 / $3,074.38 / $3,639.80
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.76 / $2,670.86 / $3,514.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.17 / $3,564.50 / $9,262.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.21 / $2,510.21 / $2,510.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,171.43 / $1,506.13