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Kentucky rates for HCPCS 81551

Oncology (prostate), promoter methylation profiling by real-time PCR of 3 genes (GSTP1, APC, RASSF1), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a likelihood of prostate cancer detection on repeat biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.80 / $1,603.70 / $9,029.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.00 / $1,624.00 / $2,030.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $200.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.00 / $2,842.00 / $3,349.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.50 / $2,842.00 / $4,060.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.50 / $1,579.54 / $2,678.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.73 / $2,146.38 / $9,784.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.60 / $1,218.00 / $2,030.00