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New Hampshire 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
$4,337.76 / $9,531.45 / $27,111.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.10 / $2,711.10 / $3,137.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,371.09 / $7,079.84 / $15,104.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.40 / $2,517.44 / $2,517.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,993.48 / $14,158.51 / $16,990.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $5,621.27 / $12,758.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $3,873.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00