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Nebraska 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
$5,132.16 / $5,132.16 / $7,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,132.16 / $5,132.16 / $5,132.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,538.88 / $2,976.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,228.54 / $12,363.84 / $12,752.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,275.00 / $16,018.56 / $19,906.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.36 / $5,132.16 / $36,936.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,665.60 / $4,665.60 / $22,472.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,331.20 / $14,220.36 / $46,656.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,331.20 / $13,048.52 / $19,906.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,097.92 / $13,219.20 / $15,863.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,432.32 / $4,665.60 / $15,163.20