go back

North Dakota 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
$364.00 / $364.00 / $936.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $488.80 / $488.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.73 / $1,047.80 / $1,170.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.61 / $597.61 / $877.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.00 / $395.20 / $936.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $624.00 / $1,040.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $530.40 / $884.00