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Idaho 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
$6,768.00 / $6,768.00 / $9,750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.00 / $7,312.50 / $7,312.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,925.00 / $7,800.00 / $14,625.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,795.41 / $3,288.72 / $6,205.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,512.00 / $7,312.50 / $8,043.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,750.00 / $3,937.50 / $4,687.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,868.75 / $3,375.00 / $7,312.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,625.00 / $7,500.00 / $13,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,963.73 / $6,595.66 / $6,595.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.53 / $1,575.00 / $3,504.36