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Illinois rates for HCPCS 0174U

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,778.28 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,454.71 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,584.89 / $1,995.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,698.24 / $2,344.23
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $2,630.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,318.26