go back

Oregon 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
$645.65 / $794.33 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,122.02 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $724.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $724.44 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,513.56 / $2,041.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $446.68 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $630.96