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Maine rates for HCPCS 0045U

Oncology (breast ductal carcinoma in situ), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $8,230.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,137.13 / $3,137.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.90 / $4,704.53 / $13,388.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.40 / $2,517.44 / $2,517.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,261.01 / $8,261.01 / $8,261.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $3,911.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $6,274.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,137.13 / $3,873.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.80 / $2,323.80 / $5,809.50