go back

Vermont 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
$2,711.10 / $4,802.52 / $24,903.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,482.43 / $6,482.43 / $6,482.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.74 / $4,386.20 / $8,702.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,482.43 / $6,482.43 / $6,482.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.74 / $4,386.20 / $8,702.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.73 / $5,422.20 / $8,948.18