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Pennsylvania rates for HCPCS 0171U

Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative neoplasms, DNA analysis, 23 genes, interrogation for sequence variants, rearrangements and minimal residual disease, reported as presence/absence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.20 / $5,316.71 / $6,353.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.44 / $1,230.44 / $1,291.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.86 / $1,184.86 / $1,184.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.01 / $1,973.60 / $4,539.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,321.87 / $7,321.87 / $7,321.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.01 / $2,050.73 / $3,752.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.47 / $5,241.67 / $6,353.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.96 / $1,291.20 / $6,273.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,248.21 / $2,278.59 / $3,038.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.48 / $1,919.40 / $5,040.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,321.87 / $7,321.87 / $7,321.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.06 / $1,519.06 / $1,670.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.06 / $1,519.06 / $1,670.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.01 / $911.44 / $2,126.67