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New Jersey 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
$1,330.41 / $3,326.03 / $14,358.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.41 / $1,957.96 / $2,133.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.73 / $5,532.86 / $11,502.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.30 / $2,231.30 / $2,231.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,635.72 / $3,288.38 / $4,573.60
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,510.21 / $6,950.00 / $8,702.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $3,346.94