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Indiana 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
$3,175.86 / $6,312.99 / $14,291.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,059.67 / $3,292.05 / $3,718.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.20 / $11,619.00 / $21,026.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.20 / $573.20 / $773.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.00 / $5,034.89 / $5,422.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,647.60 / $5,809.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,517.44 / $7,319.68 / $15,104.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.62 / $3,528.27 / $5,652.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $2,323.80 / $4,256.43