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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
$15,135.61 / $26,915.35 / $42,657.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $16,595.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $11,220.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $12,882.50 / $13,803.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $9,549.93 / $16,595.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $6,918.31 / $10,471.29