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Idaho rates for HCPCS 81542

Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,989.99 / $6,989.99 / $10,069.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.10 / $7,552.35 / $7,552.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,020.94 / $8,055.84 / $15,104.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,887.23 / $2,887.23 / $3,396.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,659.99 / $7,552.35 / $8,307.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,950.46 / $4,647.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $3,873.00 / $7,552.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,809.50 / $7,746.00 / $13,942.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,651.68 / $6,812.29 / $6,812.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $5,809.50