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Ohio 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
$3,098.40 / $6,637.17 / $9,682.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.10 / $3,098.40 / $5,591.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,419.86 / $4,182.84 / $6,854.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.20 / $2,013.96 / $5,791.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $4,841.25 / $5,809.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,034.89 / $5,228.55 / $9,295.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,985.12 / $4,405.54 / $22,103.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.18 / $2,870.39 / $7,503.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,985.12 / $4,405.54 / $22,103.21
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.18 / $2,265.71 / $7,503.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,049.98 / $3,485.70 / $4,792.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.28 / $1,394.28 / $3,485.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $5,115.07