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Nebraska 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
$2,556.17 / $2,556.17 / $2,738.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,556.17 / $2,556.17 / $2,556.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,538.88 / $2,976.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,592.60 / $6,158.06 / $6,351.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,647.60 / $7,034.57 / $8,793.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,323.80 / $5,834.43 / $18,396.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.80 / $2,323.80 / $11,192.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,647.60 / $6,777.75 / $9,062.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,647.60 / $7,622.06 / $9,682.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,531.41 / $4,531.41 / $7,900.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,207.61 / $2,323.80 / $7,552.35