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Ohio 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
$416.00 / $977.60 / $1,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $416.00 / $750.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.16 / $561.60 / $920.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $232.96 / $674.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $650.00 / $780.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.00 / $702.00 / $1,248.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.50 / $1,095.11 / $3,505.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.92 / $416.00 / $1,131.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.50 / $1,095.11 / $3,505.77
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.92 / $416.00 / $1,131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $686.76