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Arizona rates for HCPCS 81521

Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as index related to risk of distant metastasis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $13,489.63 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $7,079.46 / $10,471.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,388.44 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,801.89 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,467.37 / $5,248.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,073.80 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,344.23