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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
$3,075.00 / $4,453.95 / $24,903.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,615.85 / $6,584.10 / $22,076.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.10 / $5,615.85 / $5,615.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,615.85 / $6,584.10 / $22,076.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.70 / $3,485.70 / $5,615.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $3,873.00