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Massachusetts 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

Facilitymedian $7,413 · 10th–90th $2,754–$10,9650%10%20%10th90th$7,413Professionalmedian $3,715 · 10th–90th $2,042–$6,9180%20%40%10th90th$3,715$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
$2,041.74 / $8,511.38 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,019.95 / $7,244.36
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,019.95 / $8,912.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,238.72 / $18,620.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,413.10 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,951.21 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,981.07 / $9,772.37
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $6,309.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $6,309.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,019.95 / $8,912.51
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,238.72 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,388.44 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,715.35 / $6,760.83