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Tennessee 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 / $2,128.66 / $6,852.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.66 / $1,957.96 / $2,384.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.31 / $3,313.48 / $4,945.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.57 / $5,167.33 / $8,962.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,510.21 / $2,510.21 / $12,099.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,367.77 / $11,923.50 / $11,923.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,551.05 / $12,551.05 / $18,826.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.29 / $1,673.47 / $3,419.42