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New York 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 $15,136 · 10th–90th $7,244–$25,7040%5%10%10th90th$15,136Professionalmedian $5,129 · 10th–90th $1,549–$9,1200%20%10th90th$5,129$2.0K$5.0K$10.0K$20.0K$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
$7,244.36 / $16,218.10 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,918.31 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,964.78 / $31,622.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $40,738.03 / $40,738.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $14,125.38 / $32,359.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $11,220.18 / $16,595.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $8,317.64 / $15,135.61
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $15,848.93 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $8,511.38 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,128.61 / $11,481.54
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,912.51 / $9,772.37
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $8,511.38 / $20,417.38