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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,200.01 / $10,200.01 / $10,200.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,545.01 / $8,075.01 / $10,200.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.20 / $1,549.20 / $34,673.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,933.87 / $12,933.87 / $12,933.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,392.17 / $27,335.61 / $41,933.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,060.46 / $22,888.80 / $26,010.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,545.01 / $10,200.00 / $29,750.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,545.01 / $10,200.00 / $29,750.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,250.00 / $5,100.00 / $26,212.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,545.01 / $10,200.00 / $29,750.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,190.12 / $20,268.22 / $28,427.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,000.00 / $40,375.00 / $40,375.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,000.00 / $34,000.00 / $42,330.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,105.00 / $18,105.00 / $18,105.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,410.00 / $46,410.00 / $46,410.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,500.00 / $8,500.00 / $8,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,694.95 / $5,100.00 / $22,542.77