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Montana 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
Professional
Modifier
Low / Median / High Price
$3,650.00 / $3,718.08 / $4,453.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,189.82 / $5,189.82 / $5,189.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,615.85 / $5,615.85 / $5,615.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,615.85 / $5,615.85 / $5,615.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,615.85 / $5,615.85 / $5,615.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.70 / $3,485.70 / $5,615.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.66 / $1,626.66 / $3,873.00