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Louisiana 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
$4,105.38 / $5,588.74 / $20,371.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.80 / $4,608.87 / $5,034.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.09 / $597.91 / $663.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $3,873.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.44 / $27,353.81 / $29,404.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,208.00 / $5,034.89