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Louisiana 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
$3,975.00 / $5,167.50 / $18,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.00 / $4,537.50 / $4,875.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,697.88 / $6,605.63 / $9,949.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.70 / $4,312.50 / $5,400.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $3,750.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,923.93 / $9,346.69 / $17,426.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.97 / $3,884.04 / $7,715.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.53 / $1,875.00 / $4,411.72