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Nebraska 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
$2,754.23 / $10,232.93 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,951.21 / $25,703.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,025.60 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $7,413.10 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,754.40 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $10,000.00 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,715.35 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,344.23 / $3,890.45