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Tumor Gene Fusion Test (NTRK Family)

Iowa rates for HCPCS 81192

A laboratory test performed on a tissue sample from a tumor that looks for a rearrangement in which part of an NTRK gene has become joined to a different gene. Tumors carrying one of these fusions can sometimes be treated with a drug aimed specifically at the abnormal protein it produces. The test examines the tumor material itself.

Facilitymedian $324 · 10th–90th $158$5620%10%10th90th$324Professionalmedian $178 · 10th–90th $135$4170%10%20%10th90th$178$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
$158.49
Median
$398.11
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$501.19
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$363.08
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$549.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$269.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$524.81
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93