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Michigan 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
$3,715.35 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $4,677.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,884.03 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $5,370.32 / $15,135.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $9,332.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,890.45 / $5,248.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $4,677.35 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,344.23 / $3,890.45