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Michigan 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
$3,679.35 / $3,679.35 / $5,739.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.00 / $3,679.35 / $3,679.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.97 / $5,248.54 / $9,218.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,306.00 / $3,480.00 / $3,723.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.18 / $2,316.14 / $5,388.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,643.72 / $3,679.35 / $6,760.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.72 / $3,679.35 / $4,647.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,206.84 / $3,527.52 / $5,772.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $3,873.00