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Nebraska 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
$1,656.74 / $1,656.74 / $1,774.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.74 / $1,656.74 / $1,656.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,538.88 / $2,976.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.73 / $3,991.23 / $4,116.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.25 / $4,559.16 / $5,698.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.13 / $3,147.81 / $11,923.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.13 / $1,506.13 / $8,060.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,012.25 / $5,171.03 / $7,756.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.25 / $5,488.16 / $6,426.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,936.95 / $2,936.95 / $5,120.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.82 / $1,506.13 / $1,812.93