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Ohio 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 $5,370 · 10th–90th $3,631–$9,3330%20%10th90th$5,370Professionalmedian $3,090 · 10th–90th $1,148–$4,5710%20%10th90th$3,090$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,630.78 / $5,754.40 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,162.28 / $4,570.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,412.54 / $4,786.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $41,686.94 / $81,283.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $60,255.96 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,011.87 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $8,128.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,265.80 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,890.45 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $3,890.45