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New Jersey 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 / $2,874.48 / $11,611.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.80 / $1,320.80 / $2,030.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.33 / $4,474.79 / $9,302.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.89 / $2,105.03 / $4,353.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.00 / $2,131.50 / $2,943.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.00 / $13,785.00 / $13,785.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.60 / $1,218.00 / $2,192.40