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South Carolina 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
$363.08 / $724.44 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,288.25 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $239.88 / $549.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $467.74 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $524.81 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $524.81