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Tennessee 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
$390.00 / $650.00 / $1,664.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $405.60 / $494.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $686.40 / $1,024.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.22 / $1,120.72 / $1,856.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.19 / $358.07 / $1,407.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.80 / $2,470.00 / $2,470.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,600.00 / $2,600.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $520.00