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North Carolina 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
$2,008.17 / $2,008.17 / $5,664.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.29 / $2,008.17 / $2,133.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.39 / $3,494.38 / $6,590.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.17 / $2,510.21 / $3,765.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.64 / $1,631.64 / $2,510.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.21 / $3,840.62 / $4,807.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.10 / $1,506.13 / $2,789.12
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,367.77 / $11,923.50 / $11,923.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,551.05 / $12,551.05 / $18,826.58