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Arizona rates for HCPCS 81540

Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $11,481.54 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,951.21 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $6,760.83 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,311.31 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,090.30 / $12,302.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $16,595.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,981.07 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,715.35 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $2,238.72