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Pennsylvania 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
$6,298.56 / $22,045.00 / $32,521.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $6,298.56 / $6,609.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,065.28 / $6,065.28 / $6,065.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,379.42 / $11,487.24 / $25,804.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,094.12 / $8,304.87 / $17,587.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,626.72 / $10,497.60 / $14,774.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,609.60 / $22,045.00 / $32,114.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.40 / $6,376.32 / $32,114.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,508.48 / $11,664.00 / $15,552.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,568.87 / $12,936.74 / $25,804.67
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,052.80 / $8,324.09 / $24,972.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,776.00 / $7,776.00 / $8,553.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,776.00 / $7,776.00 / $8,553.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $4,665.60 / $10,886.40