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Indiana 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
$3,175.86 / $6,312.99 / $14,291.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.02 / $3,175.86 / $3,292.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.56 / $11,619.00 / $21,026.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $36.56 / $1,148.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $5,034.89 / $6,196.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,647.60 / $5,809.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.44 / $7,319.68 / $15,104.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.26 / $4,450.49 / $5,652.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $4,256.43