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Maryland 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
$25,485.55 / $25,485.55 / $25,485.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.02 / $3,650.00 / $3,718.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,098.40 / $3,098.40 / $3,532.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,122.17 / $2,875.69 / $19,896.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,873.00 / $4,647.60 / $5,809.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,742.85 / $3,096.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.50 / $1,936.50 / $1,936.50