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California 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
$2,482.26 / $10,241.79 / $24,112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.20 / $2,482.26 / $24,112.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.00 / $6,735.75 / $18,487.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,575.00 / $5,625.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $2,711.25 / $10,575.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.25 / $2,437.50 / $6,127.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,413.13 / $6,435.00 / $12,553.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.48 / $2,924.94 / $10,278.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,750.00 / $4,125.00 / $5,062.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,375.00 / $4,312.50 / $8,028.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,525.00 / $17,812.50 / $17,812.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,750.00 / $18,750.00 / $28,125.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.00 / $2,625.00 / $2,625.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.33 / $4,500.00 / $10,756.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.84 / $4,125.00 / $7,500.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,162.50 / $13,162.50 / $13,162.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.53 / $1,575.00 / $7,203.75