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Alaska rates for HCPCS 81552

Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, algorithm reported as risk of metastasis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,508.50 / $53,662.20 / $91,173.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,049.60 / $26,049.60 / $26,049.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,481.20 / $21,481.20 / $21,481.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,250.93 / $37,250.93 / $37,250.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $7,776.00 / $25,038.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,216.00 / $28,771.20 / $31,104.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,998.40 / $17,496.00 / $17,496.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,481.20 / $28,771.20 / $37,250.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,384.00 / $21,384.00 / $21,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $15,552.00 / $23,461.82