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Maryland 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
Professional
Modifier
Low / Median / High Price
$2,480.40 / $5,832.00 / $7,776.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,220.80 / $7,153.92 / $8,155.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,260.85 / $5,773.96 / $39,945.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $9,331.20 / $11,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $3,499.20 / $6,998.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,888.00 / $3,888.00 / $3,888.00