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Maine rates for HCPCS 0313U

Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, negative, low probability of neoplasia or positive, high probability of neoplasia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.00 / $3,600.00 / $7,650.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,916.00 / $2,916.00 / $2,916.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,949.75 / $23,030.64 / $26,844.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.00 / $1,440.00 / $3,060.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.00 / $3,600.00 / $3,636.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.00 / $3,600.00 / $5,832.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,916.00 / $2,916.00 / $3,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.00 / $2,160.00 / $5,400.00