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Wisconsin 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 $10,000 · 10th–90th $3,890–$16,5960%20%10th90th$10,000Professionalmedian $3,715 · 10th–90th $1,549–$11,4820%10%20%10th90th$3,715$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
$4,677.35 / $8,709.64 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,630.78 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,471.29 / $10,715.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $15,488.17
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,248.07
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,589.25 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,606.93 / $12,022.64
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $14,454.40 / $21,877.62
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $25,703.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $5,011.87 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $2,041.74
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,677.35 / $6,025.60
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $6,165.95 / $10,964.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $9,120.11 / $13,182.57
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $18,197.01 / $18,197.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $19,498.45 / $19,498.45
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $8,317.64
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,090.30 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $5,370.32