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Massachusetts 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 $19,055 · 10th–90th $5,888–$27,5420%20%10th90th$19,055Professionalmedian $8,511 · 10th–90th $5,623–$12,8820%20%40%10th90th$8,511$100.0$500.0$2.0K$10.0K$50.0K

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
$5,888.44 / $19,054.61 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,760.83 / $8,317.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $22,908.68 / $40,738.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $6,456.54 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $12,302.69
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $14,454.40
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $12,302.69 / $14,454.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $13,803.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $22,908.68 / $40,738.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,511.38 / $31,622.78
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
$5,128.61 / $8,511.38 / $14,454.40