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Pennsylvania rates for HCPCS 81455

Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.71 / $3,854.75 / $12,210.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.07 / $2,364.88 / $2,919.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $13,055.28 / $19,843.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,277.29 / $2,277.29 / $2,311.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.67 / $3,795.48 / $8,539.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.17 / $3,125.21 / $6,603.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.02 / $2,335.67 / $4,934.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.11 / $4,450.00 / $7,663.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,102.11 / $6,834.50 / $12,057.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.00 / $2,481.66 / $12,057.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,321.01 / $4,379.39 / $5,839.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,040.13 / $4,519.27 / $9,688.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.76 / $3,296.16 / $6,603.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,919.60 / $2,919.60 / $3,211.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,919.60 / $2,919.60 / $3,211.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.23 / $1,751.76 / $4,963.32