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Iowa rates for HCPCS 0017M

Oncology (diffuse large B-cell lymphoma [DLBCL]), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of origin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $4,786.30 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,019.95 / $3,311.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $3,235.94 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,019.95 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,235.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $6,309.57
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89