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Oklahoma 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
$1,882.66 / $2,510.21 / $6,024.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.56 / $1,857.56 / $2,685.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.64 / $1,631.64 / $6,706.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,057.46 / $3,057.46 / $3,663.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.56 / $2,510.21 / $4,217.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,171.43 / $3,765.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,171.43 / $1,673.47