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Massachusetts 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
$1,737.80 / $5,623.41 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $2,398.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,165.95 / $12,022.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,467.37 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,041.74 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,630.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,265.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $5,370.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $6,165.95 / $12,022.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,511.89 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $5,248.07