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Illinois 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
$2,570.40 / $4,168.69 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,388.44 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,677.35 / $11,481.54
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
$346.74 / $3,388.44 / $4,570.88
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $2,570.40