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Pennsylvania rates for HCPCS 81529

Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk, including likelihood of sentinel lymph node metastasis

Facilitymedian $18,621 · 10th–90th $6,761–$31,6230%10%10th90th$18,621Professionalmedian $5,888 · 10th–90th $4,074–$14,7910%20%10th90th$5,888$5.0K$10.0K$20.0K$50.0K

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
$6,760.83 / $18,620.87 / $30,199.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,888.44 / $21,379.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $33,884.42 / $48,977.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,623.41 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $11,748.98 / $24,547.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,309.57 / $10,964.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,456.54 / $9,772.37
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,244.36
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,709.64 / $13,489.63
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $13,803.84 / $24,547.09
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,888.44 / $8,912.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,943.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,244.36 / $8,709.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,365.16 / $9,549.93