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Tumor Test For Common Metabolic Gene Changes

New Hampshire rates for HCPCS 81120

A laboratory test on a tumor or bone marrow sample that looks for a set of specific known changes in a gene controlling a step in the cell's energy metabolism. Only those common, well-defined changes are examined rather than the whole gene being read from end to end. Results help guide treatment choices and judge outlook in certain brain tumors and in acute myeloid leukemia.

Facilitymedian $603 · 10th–90th $316$1,2300%10%10th90th$603Professionalmedian $195 · 10th–90th $115$3550%20%10th90th$195$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$269.15
Median
$489.78
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$371.54
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$724.44
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$562.34
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$194.98
Typical High
$537.03