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Vermont 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
Professional
Modifier
Low / Median / High Price
$2,442.73 / $4,327.14 / $4,327.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.77 / $5,840.77 / $5,840.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.77 / $5,840.77 / $5,840.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.26 / $2,268.26 / $2,268.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.27 / $3,489.63 / $15,703.34