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Florida 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
$364.00 / $634.40 / $1,996.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $374.40 / $478.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.16 / $372.02 / $1,955.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.33 / $524.58 / $882.96
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $312.00 / $454.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $780.00 / $780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $218.40 / $814.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $312.00 / $312.00