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Wisconsin 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 $23,442 · 10th–90th $7,586–$40,7380%10%20%10th90th$23,442Professionalmedian $7,586 · 10th–90th $1,549–$23,4420%10%10th90th$7,586$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
$10,232.93 / $23,442.29 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,918.31 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,548.82 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $27,542.29 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,772.37 / $23,442.29 / $26,302.68
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $35,481.34 / $53,703.18
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $56,234.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $10,232.93 / $29,512.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,128.61 / $26,302.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $5,011.87
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,232.93 / $10,232.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,882.50 / $14,454.40
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,952.62 / $28,183.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $40,738.03 / $40,738.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $33,884.42 / $42,657.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $6,760.83 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,128.61 / $12,882.50