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Texas 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 $10,233 · 10th–90th $5,129–$38,9050%10%10th90th$10,233Professionalmedian $6,310 · 10th–90th $4,677–$9,7720%20%10th90th$6,310$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
$5,495.41 / $12,302.69 / $38,904.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,309.57 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,606.93 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $12,302.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42,657.95 / $63,095.73 / $63,095.73
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $8,511.38 / $15,848.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,760.83 / $9,772.37
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $9,120.11 / $18,197.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $8,317.64 / $15,848.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,912.51 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $8,511.38 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $6,025.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $5,888.44 / $8,511.38