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Ohio 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 / $2,454.10 / $4,020.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.65 / $1,044.30 / $3,132.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.14 / $1,148.40 / $1,722.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.56 / $1,696.98 / $30,545.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,364.73 / $2,854.34 / $36,125.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.49 / $1,344.01 / $7,449.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.49 / $1,500.02 / $1,875.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.49 / $1,344.01 / $7,449.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.49 / $848.49 / $848.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $783.22 / $1,566.44