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Ohio 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
$5,729.72 / $9,331.20 / $19,440.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $6,220.80 / $8,164.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,866.21 / $8,398.08 / $13,761.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.83 / $371.80 / $10,093.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,776.00 / $9,720.00 / $11,664.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,108.79 / $10,497.60 / $18,662.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,939.69 / $8,006.17 / $44,377.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,758.65 / $6,998.33 / $15,065.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,939.69 / $8,006.17 / $52,424.74
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,758.65 / $4,354.56 / $15,065.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,207.60 / $6,706.80 / $8,456.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $4,665.60 / $10,269.76