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Maryland rates for HCPCS 0172U

Oncology (solid tumor as indicated by the label), somatic mutation analysis of BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, algorithm quantifying tumor genomic instability score

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.50 / $2,272.50 / $3,110.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.00 / $2,727.00 / $3,108.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.15 / $1,588.15 / $1,588.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,030.00 / $3,636.00 / $4,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.59 / $1,393.80 / $2,727.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.00 / $2,408.85 / $2,408.85