go back

Michigan 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
$3,562.50 / $3,562.50 / $5,557.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,225.00 / $3,562.50 / $3,562.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.69 / $2,629.69 / $2,629.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,498.21 / $2,629.69 / $2,925.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.66 / $4,570.26 / $8,437.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.41 / $3,562.50 / $6,546.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,747.41 / $3,000.00 / $4,500.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.53 / $1,752.18 / $2,920.30