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Michigan 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
$494.00 / $494.00 / $770.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.20 / $494.00 / $494.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.42 / $346.42 / $364.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.42 / $364.65 / $405.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.92 / $633.96 / $1,170.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.22 / $494.00 / $907.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.22 / $494.00 / $624.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $520.00