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Iowa 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 / $4,786.30 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,762.47 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,025.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $3,235.94 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,019.95 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,818.38 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,548.82 / $6,309.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89