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Maryland 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
Professional
Modifier
Low / Median / High Price
$979.03 / $979.03 / $979.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.87 / $1,044.30 / $1,420.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.02 / $1,500.02 / $1,875.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.36 / $1,501.18 / $1,958.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $652.69 / $1,187.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.03 / $803.88 / $1,148.40