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Arkansas rates for HCPCS 81504

Oncology (tissue of origin), microarray gene expression profiling of >2,000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.20 / $655.20 / $904.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $504.40 / $655.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.40 / $780.00 / $780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $392.08 / $777.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.31 / $521.50 / $781.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.00 / $468.00 / $468.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $520.00