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Rhode Island rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,990.00 / $2,990.00 / $2,990.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $384.80 / $426.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $612.46 / $665.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $390.00 / $390.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.00 / $690.10 / $1,407.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $750.00