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Circulating Tumor Cell Count With Her2

Wisconsin rates for HCPCS 0338U

Counts cancer cells that have broken away from a tumor and are traveling in the bloodstream, and reports how many of them carry HER2, a protein that can be targeted by specific drugs. Cells in a blood sample are identified by their surface and internal proteins (EpCAM, cytokeratins 8, 18 and 19, CD45 and HER2) and the counts are reported as numbers.

Facilitymedian $6,761 · 10th–90th $2,188$11,7490%10%20%10th90th$6,761Professionalmedian $2,344 · 10th–90th $1,622$7,5860%10%10th90th$2,344$100.0$500.0$2.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,760.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,890.45
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$7,762.47
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$6,760.83
Typical High
$7,585.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$10,232.93
Typical High
$15,488.17
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$16,218.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$8,511.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$7,585.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,951.21
Typical High
$2,951.21
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$4,168.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,754.40
Typical High
$7,943.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,481.54
Typical High
$11,481.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$9,772.37
Typical High
$12,022.64
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Security Health
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,949.84
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$3,715.35