go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $18,620.87 / $30,199.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,888.44 / $13,182.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $33,884.42 / $48,977.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $10,964.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $11,748.98 / $24,547.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $6,309.57 / $12,882.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $9,332.54 / $13,803.84
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,244.36
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $8,317.64 / $13,489.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $17,782.79 / $30,199.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $6,456.54 / $26,915.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $10,232.93 / $10,232.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,943.28 / $7,943.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,365.16 / $8,912.51