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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
$3,715.35 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,311.31 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,370.32 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,311.31 / $8,317.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $9,120.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,890.45 / $5,248.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,862.09 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,890.45