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Nationwide rates for HCPCS 0315U

Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as a categorical risk result (ie, Class 1, Class 2A, Class 2B)

Facilitymedian $12,882 · 10th–90th $6,761–$38,9050%10%10th90th$12,882Professionalmedian $6,918 · 10th–90th $4,266–$10,2330%20%10th90th$6,918$10.0$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
$7,079.46 / $14,791.08 / $38,904.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,918.31 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $13,182.57 / $40,738.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,621.81 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $15,848.93 / $38,018.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,302.69 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,128.61 / $10,000.00

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