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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
$570.00 / $1,054.50 / $2,135.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.00 / $600.40 / $676.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.20 / $494.00 / $1,216.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.50 / $1,508.54 / $2,173.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $926.36 / $1,157.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.40 / $3,610.00 / $3,610.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $456.00 / $760.00