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Maine 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
$3,715.35 / $3,715.35 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,365.16 / $12,882.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,819.70 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,715.35 / $3,801.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,466.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $6,025.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,630.78 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $5,128.61