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Ohio 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 / $3,715.35 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $346.74 / $3,019.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $34,673.69 / $52,480.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $39,810.72 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,884.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $5,248.07
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,754.23 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,238.72 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $2,884.03