go back

Massachusetts 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 / $4,669.00 / $6,186.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.80 / $1,320.80 / $2,386.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,372.57 / $5,646.32 / $7,417.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.00 / $2,030.00 / $8,050.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.00 / $2,902.90 / $5,444.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.04 / $1,466.73 / $4,618.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.91 / $2,141.71 / $9,059.06
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.00 / $2,030.00 / $6,286.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.20 / $9,642.50 / $9,642.50
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.00 / $1,218.00 / $10,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.00 / $1,218.00 / $3,288.92