go back

North Dakota 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 / $2,711.10 / $6,971.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.10 / $3,640.62 / $3,640.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,829.83 / $7,804.10 / $8,714.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,450.49 / $4,450.49 / $6,533.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.80 / $2,943.48 / $6,971.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.23 / $4,647.60 / $7,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $3,950.46 / $6,584.10