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Georgia 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
$1,669.29 / $4,623.93 / $7,957.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.29 / $2,133.67 / $2,409.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.74 / $2,736.00 / $7,647.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.00 / $1,500.00 / $4,794.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.21 / $3,639.80 / $5,395.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,263.28 / $5,522.46 / $7,740.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.30 / $14,129.95 / $14,129.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.19 / $3,263.27 / $19,565.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,911.84 / $3,363.68 / $4,643.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $4,394.12