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North Carolina 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
$1,044.30 / $2,166.91 / $2,861.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.07 / $1,031.24 / $1,044.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.88 / $1,696.98 / $3,426.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.02 / $1,500.02 / $1,875.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.22 / $1,044.30 / $1,305.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.49 / $1,305.36 / $1,305.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.41 / $652.69 / $1,305.36
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.34 / $6,200.51 / $6,200.51