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Montana 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
$8,942.40 / $8,942.40 / $8,942.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,275.20 / $11,275.20 / $11,275.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,275.20 / $11,275.20 / $11,275.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,275.20 / $11,275.20 / $11,275.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,998.40 / $6,998.40 / $11,275.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $3,265.92 / $7,776.00