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Idaho 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
$6,918.31 / $6,918.31 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,162.28 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,585.78 / $13,803.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $8,128.31 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,884.03 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $5,754.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,073.80 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,762.47 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $4,073.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $3,890.45