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Michigan 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
$3,679.35 / $3,679.35 / $5,739.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.42 / $3,679.35 / $3,679.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,715.94 / $2,715.94 / $2,715.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.14 / $2,715.94 / $3,020.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,720.18 / $4,720.18 / $5,900.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,679.35 / $3,679.35 / $6,760.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,679.35 / $3,718.08 / $4,647.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $3,873.00