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Nebraska 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
$371.54 / $1,380.38 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $3,467.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $776.25 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $489.78 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $524.81