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Montana 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
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,606.93 / $21,877.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $5,623.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,011.87 / $11,748.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,011.87 / $11,748.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,606.93 / $21,877.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $3,890.45