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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
$1,862.09 / $1,995.26 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $5,128.61 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,818.38 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $2,754.23