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Wyoming 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
$3,873.00 / $3,873.00 / $3,873.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,826.52 / $3,873.00 / $3,873.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,841.25 / $6,003.00 / $12,394.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,746.27 / $7,746.27 / $7,746.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,299.59 / $6,299.59 / $6,299.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $3,873.00