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Hawaii 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
$6,415.20 / $7,270.56 / $9,331.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $2,480.40 / $2,480.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,331.20 / $9,331.20 / $9,331.20
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,328.17 / $8,786.87 / $9,720.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,553.60 / $9,331.20 / $10,886.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $9,331.20 / $11,664.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,609.60 / $10,497.60 / $17,496.00