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Tennessee rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $977.24 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $1,148.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $524.81 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $758.58