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Louisiana 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
$1,380.38 / $1,905.46 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,570.40 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,174.90 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $1,445.44