go back

Louisiana 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
$4,073.80 / $5,370.32 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,388.44 / $5,248.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,585.78 / $12,302.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $4,786.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,413.10 / $29,512.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,890.45 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $5,370.32