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Maine rates for HCPCS 0317U

Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithm-generated evaluation reported as decreased or increased risk for lung cancer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.00 / $2,030.00 / $4,313.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.30 / $1,644.30 / $1,644.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,249.45 / $12,986.72 / $15,137.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $304.00 / $1,725.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.00 / $2,030.00 / $2,050.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.00 / $2,030.00 / $3,288.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.30 / $1,644.30 / $2,030.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.30 / $1,218.00 / $3,552.50