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New Hampshire 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
$5,248.07 / $9,549.93 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,244.36 / $21,379.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,454.71 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $13,803.84 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,981.07 / $15,488.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $5,754.40