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Maine rates for HCPCS 0179U

Oncology (non-small cell lung cancer), cell-free DNA, targeted sequence analysis of 23 genes (single nucleotide variations, insertions and deletions, fusions without prior knowledge of partner/breakpoint, copy number variations), with report of significant mutation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.21 / $1,943.21 / $4,129.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.50 / $607.50 / $607.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.28 / $777.28 / $1,263.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.21 / $1,943.21 / $1,962.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.21 / $1,943.21 / $3,148.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.50 / $607.50 / $1,943.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.04 / $1,165.93 / $3,400.62