go back

Arizona rates for HCPCS 0174U

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,630.27 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,344.23 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,096.48 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,047.13