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California rates for HCPCS 0120U

Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixed paraffin-embedded tissue, algorithm reported as likelihood for primary mediastinal B-cell lymphoma (PMBCL) and diffuse large B-cell lymphoma (DLBCL) with cell of origin subtyping in the latter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $10,232.93 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $2,884.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $6,309.57 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,041.74 / $3,630.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $6,456.54 / $26,915.35
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,168.69 / $8,317.64
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $3,388.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,754.23 / $4,365.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $18,620.87 / $18,620.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,019.95 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,754.23 / $3,630.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,511.89 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,511.89 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $4,786.30