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Georgia 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
$345.80 / $923.68 / $1,648.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.80 / $452.40 / $580.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.64 / $574.60 / $1,799.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $208.00 / $644.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $754.00 / $1,117.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.57 / $845.00 / $1,443.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.14 / $794.09 / $2,927.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $676.00 / $4,052.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.20 / $728.00 / $962.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $944.89