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Maine 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
$3,873.00 / $3,873.00 / $9,682.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,137.13 / $3,873.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.90 / $5,693.31 / $27,710.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.20 / $1,549.20 / $3,679.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,261.01 / $8,261.01 / $8,261.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.36 / $3,919.32 / $4,802.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $3,911.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $9,682.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,137.13 / $3,873.00 / $3,873.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.23 / $2,323.80 / $6,358.23