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New York 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
$2,520.00 / $5,724.00 / $10,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.00 / $2,367.00 / $3,060.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.00 / $1,440.00 / $3,837.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.00 / $7,605.00 / $12,959.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,384.80 / $17,352.00 / $17,352.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $4,680.00 / $8,100.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,780.00 / $4,716.00 / $7,812.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.00 / $3,600.00 / $6,527.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $7,605.00 / $12,959.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.00 / $3,888.00 / $8,280.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.00 / $2,160.00 / $5,580.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,676.38 / $4,139.91 / $4,139.91
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.00 / $3,676.38 / $4,326.89