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Idaho 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
$938.50 / $938.50 / $1,352.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $1,014.00 / $1,014.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.00 / $2,028.00 / $2,028.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.56 / $455.96 / $860.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.66 / $1,014.00 / $1,115.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $520.00 / $624.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.80 / $468.00 / $1,014.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.00 / $1,040.00 / $1,872.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.69 / $914.55 / $914.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $218.40 / $520.00