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Missouri 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
$2,133.67 / $3,374.53 / $5,823.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.76 / $2,183.88 / $2,886.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.21 / $2,635.72 / $11,587.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,056.53 / $4,534.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,543.92 / $5,265.30 / $6,020.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.24 / $2,913.24 / $2,913.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.67 / $3,012.25 / $11,923.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,673.47 / $12,551.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,649.21 / $3,154.49