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Virginia 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

Facilitymedian $5,370 · 10th–90th $2,884$14,1250%10%20%10th90th$5,370Professionalmedian $3,020 · 10th–90th $575$4,2660%20%10th90th$3,020$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $7,413.10 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,311.31 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $20,417.38 / $23,988.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $1,000.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,235.94 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $7,585.78 / $19,952.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,344.23 / $3,981.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,265.80 / $5,370.32
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,890.45 / $6,606.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $8,128.31
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,570.88 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $5,011.87 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,890.45 / $4,677.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,949.84 / $4,265.80