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Virginia rates for HCPCS 0011M

Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,584.89 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $512.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,862.09 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,071.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,584.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,479.11
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $870.96