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Virginia 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
$977.24 / $2,454.71 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $6,760.83 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,235.94 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,513.56 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $1,949.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $2,754.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $3,311.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,318.26 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $588.84 / $977.24