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Nevada 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

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Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,349.55 / $4,170.46 / $5,537.50
Aetna
Facility/Professional
Professional
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Low / Median / High Price
$1,405.72 / $1,957.96 / $4,894.91
Anthem BCBS
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Low / Median / High Price
$1,117.55 / $2,510.21 / $3,137.76
Anthem BCBS
Facility/Professional
Professional
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Low / Median / High Price
$1,500.00 / $1,500.00 / $1,875.00
Cigna
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Facility
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Low / Median / High Price
$1,631.64 / $2,936.95 / $9,088.23
Cigna
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Professional
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Low / Median / High Price
$2,231.30 / $3,057.46 / $3,663.18
Hometown Health
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Professional
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Low / Median / High Price
$627.54 / $2,510.21 / $2,635.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,506.13 / $3,419.42