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New York 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

Facilitymedian $6,918 · 10th–90th $3,311$11,7490%10%10th90th$6,918Professionalmedian $2,570 · 10th–90th $1,148$4,5710%10%20%10th90th$2,570$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,244.36 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $4,570.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $1,148.15 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,011.87 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $18,620.87 / $18,620.87
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,456.54 / $14,791.08
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $5,128.61 / $7,585.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,715.35 / $6,918.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,244.36 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,890.45 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $5,248.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,981.07 / $4,466.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,890.45 / $9,332.54