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Utah 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
$2,454.71 / $13,489.63 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $5,888.44 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,760.83 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $8,128.31 / $16,595.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $44.67 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $9,332.54 / $36,307.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $7,079.46 / $7,762.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $24,547.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,165.95 / $6,918.31 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $4,677.35