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Minnesota 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
$2,344.23 / $2,344.23 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $9,549.93 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,884.03 / $3,311.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $18,197.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,365.16 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,089.30 / $5,370.32