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Maine 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
$7,776.00 / $7,776.00 / $19,440.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $2,480.40 / $7,776.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,524.84 / $9,445.51 / $26,881.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,110.40 / $3,110.40 / $5,054.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,982.78 / $7,869.41 / $8,217.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $7,776.00 / $7,853.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,776.00 / $7,776.00 / $19,440.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $7,776.00 / $7,776.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,965.76 / $4,665.60 / $11,664.00