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North Carolina rates for HCPCS 81518

Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,439.98 / $3,330.78 / $6,243.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.55 / $3,098.40 / $4,105.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,560.99 / $7,782.00 / $8,784.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.85 / $3,292.05 / $6,971.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,942.90 / $5,391.39 / $10,167.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.69 / $2,875.41 / $5,718.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,098.40 / $3,873.00 / $5,809.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.44 / $2,517.44 / $3,873.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.44 / $3,873.00 / $7,416.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.50 / $2,323.80 / $5,809.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,739.02 / $18,396.75 / $18,396.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,365.00 / $19,365.00 / $29,047.50