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Hawaii 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
$3,195.23 / $3,621.26 / $4,647.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.69 / $2,052.69 / $2,052.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,647.60 / $4,647.60 / $4,647.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,055.50 / $4,841.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,260.30 / $4,647.60 / $5,422.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,647.60 / $5,809.50