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Texas rates for HCPCS 81523

Oncology (breast), mRNA, next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as index related to risk to distant metastasis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,556.17 / $6,196.80 / $18,867.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.88 / $2,711.10 / $4,647.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.44 / $8,811.08 / $17,256.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.72 / $2,168.88 / $6,992.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,196.80 / $18,396.75 / $18,396.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,287.54 / $19,287.54 / $29,047.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,362.53 / $3,873.00 / $5,809.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,679.35 / $3,873.00 / $5,809.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.44 / $4,647.60 / $8,714.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,593.54 / $3,876.87 / $11,341.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.89 / $4,260.30 / $6,777.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $2,323.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.20 / $1,549.20 / $3,873.00