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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
$1,047.13 / $1,047.13 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,047.13 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,884.03 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,089.30 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,318.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $645.65 / $1,318.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95