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Pennsylvania rates for HCPCS 81287

MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.96 / $341.25 / $521.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.23 / $102.20 / $801.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.22 / $97.22 / $97.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.45 / $165.99 / $414.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $77.40 / $186.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.16 / $168.26 / $236.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $379.00 / $379.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.94 / $341.25 / $521.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.74 / $143.34 / $514.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.47 / $186.96 / $249.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.45 / $165.99 / $414.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.27 / $79.48 / $186.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.31 / $124.64 / $124.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.31 / $124.64 / $124.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.35 / $74.78 / $162.11