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Illinois 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
$2,570.40 / $4,365.16 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,388.44 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,370.32 / $11,481.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,090.30 / $3,630.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $3,388.44 / $4,677.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $2,818.38