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Texas 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
$2,344.23 / $5,754.40 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,162.28 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.50 / $2,137.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,079.46 / $16,982.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $6,606.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,498.45 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,981.07 / $8,709.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $2,951.21 / $4,786.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,168.69 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $4,168.69 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,630.27 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,691.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $3,890.45