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Utah rates for HCPCS 81522

Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,485.70 / $18,265.09 / $23,946.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.70 / $3,485.70 / $3,485.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.45 / $3,404.80 / $10,671.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.71 / $4,011.45 / $8,243.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $2,606.62 / $3,388.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $4,453.95 / $15,685.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,178.13 / $4,642.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $2,323.80