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Pennsylvania 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
$1,723.48 / $4,568.79 / $5,391.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.71 / $1,031.24 / $1,109.56
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.19 / $1,018.19 / $1,018.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.94 / $1,695.96 / $4,332.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.02 / $1,500.02 / $1,875.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.47 / $770.17 / $1,767.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.96 / $5,391.18 / $5,391.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.71 / $1,057.34 / $5,391.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.94 / $1,649.64 / $4,332.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.02 / $1,500.02 / $1,875.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.36 / $1,305.36 / $1,435.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.73 / $1,305.36 / $1,435.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.26 / $783.22 / $2,219.13