go back

Indiana 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
$3,890.45 / $6,025.60 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,162.28 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,890.45 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,548.13 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,890.45