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Pennsylvania 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 $21,380 · 10th–90th $8,511–$37,1540%10%10th90th$21,380Professionalmedian $6,761 · 10th–90th $4,786–$9,7720%20%40%10th90th$6,761$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
$10,232.93 / $21,379.62 / $37,153.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,760.83 / $8,128.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $11,748.98 / $28,840.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,220.18 / $12,022.64
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $8,511.38
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $14,125.38 / $21,379.62
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $14,791.08 / $30,199.52
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,760.83 / $10,232.93
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 / $11,220.18