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Wyoming 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
$520.00 / $520.00 / $520.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.76 / $520.00 / $520.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $806.00 / $1,664.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.77 / $845.77 / $1,118.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $218.40 / $520.00