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Kentucky 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
$410.80 / $426.40 / $2,312.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.80 / $416.00 / $520.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $468.00 / $546.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $13.28 / $176.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $728.00 / $858.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.00 / $702.00 / $1,040.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $404.61 / $686.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.34 / $549.75 / $2,506.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $520.00