go back

Indiana 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
$1,513.56 / $2,041.74 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $128.82 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $19,054.61 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $1,513.56 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,318.26 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,318.26