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Ohio rates for HCPCS 81519

Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score

Facilitymedian $4,677 · 10th–90th $3,090–$8,7100%10%20%10th90th$4,677Professionalmedian $3,162 · 10th–90th $1,622–$4,6770%20%10th90th$3,162$5.0$20.0$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
$3,090.30 / $5,754.40 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,162.28 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,073.80 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,778.28 / $4,897.79
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,466.84 / $5,370.32
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,128.61 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,388.44 / $7,413.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $15,848.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $7,762.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,467.37 / $4,786.30
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,677.35 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,890.45 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,344.23 / $4,677.35