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New York rates for HCPCS 81525

Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence score

Facilitymedian $5,623 · 10th–90th $3,090–$9,3330%10%10th90th$5,623Professionalmedian $2,512 · 10th–90th $1,259–$5,7540%10%20%10th90th$2,512$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,888.44 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $2,630.27 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $8,128.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $4,677.35
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,090.30 / $3,090.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,606.93 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,981.07 / $15,135.61
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,090.30 / $7,079.46
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,754.23 / $5,888.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,090.30 / $5,495.41
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,888.44 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,090.30 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,344.23 / $5,888.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $3,311.31 / $4,168.69
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,090.30 / $7,413.10