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Alaska rates for HCPCS 0016M

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,495.90 / $26,186.20 / $40,915.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,848.10 / $26,186.20 / $40,331.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,640.11 / $9,640.11 / $9,640.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,717.07 / $16,717.07 / $16,717.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.63 / $3,489.63 / $11,236.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,911.63 / $12,911.63 / $13,958.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,140.67 / $7,851.67 / $7,851.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,640.11 / $12,911.63 / $13,958.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,596.48 / $9,596.48 / $9,596.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.63 / $6,979.26 / $10,528.95