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Vermont 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
Professional
Modifier
Low / Median / High Price
$2,044.21 / $3,621.17 / $24,112.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,276.56 / $6,276.56 / $6,276.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,425.78 / $8,425.78 / $8,425.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,276.56 / $6,276.56 / $6,276.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $8,425.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.00 / $2,920.30 / $8,664.00