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Kansas 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
$542.88 / $1,074.53 / $1,660.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $452.40 / $556.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $650.00 / $650.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.68 / $851.76 / $1,179.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $496.51 / $754.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.80 / $520.00 / $751.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $2,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $780.00