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Utah 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
$3,485.70 / $18,265.09 / $23,946.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.70 / $3,485.70 / $3,485.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.45 / $3,404.80 / $10,671.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,647.60 / $4,647.60 / $4,647.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,989.19 / $4,453.95 / $4,647.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,010.58 / $4,456.20 / $5,788.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $2,323.80