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New Hampshire 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
$10,964.78 / $19,498.45 / $54,954.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $6,918.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $15,135.61 / $44,668.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $5,011.87 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $24,547.09 / $33,884.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $8,128.31 / $32,359.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $7,762.47