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Nebraska 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
$2,630.27 / $3,467.37 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,995.26 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,548.82 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,174.90 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $1,445.44