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Connecticut 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
$524.81 / $741.31 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $416.87 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $812.83 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $645.65 / $1,174.90
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $309.03 / $912.01