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Virginia 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 $10,965 · 10th–90th $6,310–$36,3080%5%10%10th90th$10,965Professionalmedian $6,310 · 10th–90th $1,549–$10,2330%10%10th90th$6,310$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
$6,309.57 / $16,218.10 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $6,606.93 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $44,668.36 / $52,480.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $2,754.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,079.46 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $20,417.38 / $43,651.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $9,332.54 / $12,022.64
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $8,317.64 / $14,454.40
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $9,772.37 / $17,782.79
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $9,772.37 / $17,782.79
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 / $4,265.80 / $9,332.54