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Vermont 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 $3,890 · 10th–90th $3,890–$6,4570%20%40%90th$3,890Professionalmedian $2,818 · 10th–90th $2,818–$4,5710%50%90th$2,818$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,570.88 / $8,709.64
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,890.45 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,466.84 / $8,511.38