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Indiana 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

Facilitymedian $1,950 · 10th–90th $1,318–$4,2660%20%10th90th$1,950Professionalmedian $1,047 · 10th–90th $81–$1,3180%20%10th90th$1,047$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,041.74 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,071.52 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $102.33 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $19,054.61 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,454.71 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $1,513.56 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,318.26 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,445.44