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Kansas 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
$2,762.61 / $5,187.10 / $8,015.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.66 / $2,183.88 / $2,685.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,560.41 / $2,560.41 / $2,560.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,219.03 / $4,111.72 / $5,692.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.17 / $2,510.21 / $3,377.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,673.47 / $12,551.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,903.08 / $6,903.08 / $6,903.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $3,765.32