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Massachusetts 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
$2,711.10 / $8,907.90 / $11,803.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.50 / $2,711.10 / $3,137.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,260.30 / $9,880.06 / $14,150.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.80 / $3,873.00 / $15,358.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,542.62 / $3,020.94 / $8,811.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,717.52 / $4,717.52 / $5,652.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,588.36 / $5,588.36 / $6,574.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $10,128.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,739.02 / $18,396.75 / $18,396.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.80 / $2,323.80 / $19,287.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $7,382.21