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West Virginia 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
$2,058.37 / $3,137.76 / $3,765.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.66 / $2,058.37 / $2,133.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.78 / $14,119.93 / $67,775.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.25 / $3,388.78 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,039.55 / $3,012.25 / $7,530.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,099.21 / $12,099.21 / $12,099.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.58 / $1,394.56 / $5,049.42