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Virginia 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 $7,586 · 10th–90th $6,166–$17,7830%20%40%10th90th$7,586Professionalmedian $5,370 · 10th–90th $2,884–$8,7100%20%10th90th$5,370$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$5,370.32 / $13,803.84 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,623.41 / $8,709.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,244.36 / $30,902.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $4,786.30
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,025.60 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $14,125.38 / $37,153.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,466.84 / $11,481.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,244.36 / $7,943.28 / $10,000.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,244.36 / $12,302.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $15,135.61
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,317.64 / $14,791.08
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,317.64 / $14,791.08
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 / $3,630.78 / $7,943.28