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Illinois 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 / $891.25 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,819.70 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $977.24 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $630.96 / $870.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $891.25 / $1,548.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $524.81