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Minnesota 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
$2,344.23 / $2,344.23 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $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
$5,370.32 / $9,549.93 / $22,908.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $5,128.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $8,709.64 / $18,197.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,786.30
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
$1,174.90 / $1,584.89 / $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