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Connecticut 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
$1,650.46 / $2,510.21 / $7,530.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.41 / $1,650.46 / $1,757.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,419.60 / $3,236.41 / $6,212.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.60 / $1,246.88 / $1,656.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,791.91 / $3,485.55 / $11,419.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,886.74 / $4,573.60 / $6,200.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.70 / $1,673.47 / $4,405.17