go back

Maine 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
$3,873.00 / $3,873.00 / $8,230.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,137.13 / $3,137.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.40 / $1,148.40 / $2,517.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $3,911.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $6,274.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,137.13 / $3,873.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.80 / $2,323.80 / $5,809.50