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Indiana 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
$6,376.32 / $12,674.90 / $28,693.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $6,376.32 / $7,776.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,143.04 / $6,959.52 / $23,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.83 / $309.83 / $427.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,776.00 / $10,108.79 / $10,886.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $9,331.20 / $11,664.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,054.39 / $14,696.83 / $30,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.99 / $7,084.02 / $11,347.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $4,665.60 / $8,545.82