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Oregon 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

Facilitymedian $4,786 · 10th–90th $3,890–$10,9650%20%40%10th90th$4,786Professionalmedian $3,631 · 10th–90th $2,399–$6,4570%10%20%10th90th$3,631$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $6,025.60 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,630.78 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,265.80 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,317.64 / $10,232.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,890.45 / $7,244.36
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,677.35 / $5,754.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $7,762.47
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,370.32 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,265.80 / $5,754.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $11,748.98 / $15,848.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,311.31 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,754.40 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $4,677.35