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Vermont 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
Professional
Modifier
Low / Median / High Price
$942.40 / $942.40 / $942.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.05 / $1,272.05 / $1,272.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $873.50 / $1,091.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.05 / $1,272.05 / $1,272.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $873.50 / $1,091.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $1,064.00