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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,517.44 / $2,904.75 / $2,904.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,098.40 / $3,098.40 / $3,532.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.69 / $2,052.69 / $2,052.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,453.95 / $5,809.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,781.58 / $3,096.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.50 / $1,936.50 / $1,936.50