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Nebraska 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
$2,475.00 / $2,475.00 / $3,750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.00 / $2,475.00 / $24,112.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,538.88 / $2,976.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,415.00 / $5,962.50 / $6,150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,438.00 / $6,876.00 / $9,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.00 / $4,702.50 / $17,812.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.18 / $2,250.00 / $8,439.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $5,804.08 / $9,600.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.00 / $6,132.63 / $9,562.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,387.50 / $6,375.00 / $7,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.18 / $2,250.00 / $5,694.59