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Idaho 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
$2,355.94 / $2,355.94 / $3,393.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.76 / $1,227.05 / $1,227.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.19 / $1,383.04 / $5,090.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.64 / $1,500.02 / $1,875.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.05 / $2,545.46 / $2,698.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $1,566.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $78.00 / $1,305.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,958.06 / $2,610.73 / $4,699.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.56 / $1,951.20 / $2,016.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $548.26 / $1,566.44