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West Virginia 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
$426.40 / $650.00 / $780.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $426.40 / $442.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $780.00 / $910.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $624.00 / $702.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $624.00 / $1,559.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.40 / $2,506.40 / $2,506.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $260.00 / $754.00