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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
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Modifier
Low / Median / High Price
$1,949.84 / $4,786.30 / $19,054.61
Aetna
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Low / Median / High Price
$1,737.80 / $2,041.74 / $2,454.71
Anthem BCBS
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$1,122.02 / $2,089.30 / $6,025.60
Anthem BCBS
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$1,288.25 / $1,513.56 / $2,238.72
Cigna
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$1,659.59 / $2,951.21 / $7,585.78
Cigna
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Low / Median / High Price
$2,238.72 / $3,090.30 / $3,630.78
Hometown Health
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Low / Median / High Price
$630.96 / $2,511.89 / $2,630.27
Select Health
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Professional
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Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
United
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Facility
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Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
United
Facility/Professional
Professional
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Low / Median / High Price
$1,047.13 / $1,174.90 / $3,388.44