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North Carolina 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
$1,278.90 / $1,624.00 / $3,272.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.95 / $1,624.00 / $2,151.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.89 / $4,235.09 / $5,546.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.50 / $1,908.40 / $3,248.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.50 / $2,825.76 / $5,328.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.83 / $1,507.07 / $2,957.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.00 / $2,030.00 / $3,045.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.50 / $1,319.50 / $2,030.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.50 / $2,030.00 / $3,887.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.00 / $1,218.00 / $2,090.90
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,532.20 / $9,642.50 / $9,642.50
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,150.00 / $10,150.00 / $15,225.00