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Ohio 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 $11,482 · 10th–90th $7,943–$20,4170%20%10th90th$11,482Professionalmedian $6,607 · 10th–90th $1,549–$9,7720%20%10th90th$6,607$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
$7,943.28 / $12,022.64 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,918.31 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,905.46 / $9,332.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $41,686.94 / $177,827.94
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $131,825.67 / $234,422.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,964.78 / $47,863.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $11,220.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,232.93
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $9,332.54 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $8,511.38 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,128.61 / $8,511.38