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Louisiana 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
$2,480.40 / $2,480.40 / $10,497.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $2,480.40 / $4,665.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.09 / $597.91 / $663.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,776.00 / $7,776.00 / $7,776.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,136.82 / $14,917.34 / $54,920.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,390.34 / $3,635.33 / $30,106.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $4,433.10 / $10,108.79