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Alaska rates for HCPCS 0288U

Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1, BRCA1, CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin-embedded (FFPE) tumor tissue, algorithmic interpretation reported as a recurrence risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,088.40 / $26,727.60 / $45,410.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,974.55 / $12,974.55 / $12,974.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,699.16 / $10,699.16 / $10,699.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,553.61 / $18,553.61 / $18,553.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $12,471.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,330.10 / $14,330.10 / $15,492.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.70 / $8,714.25 / $8,714.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,699.16 / $14,911.05 / $18,553.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,650.75 / $10,650.75 / $10,650.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $7,746.00 / $11,685.65