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Idaho 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
$7,064.35 / $7,064.35 / $10,069.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.10 / $7,552.35 / $7,552.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,104.70 / $15,104.70 / $15,104.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,709.57 / $7,552.35 / $8,307.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $4,647.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,809.50 / $7,746.00 / $13,942.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,788.41 / $5,788.41 / $5,981.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $4,453.95