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Vermont 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
Professional
Modifier
Low / Median / High Price
$2,480.40 / $2,480.40 / $2,480.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,015.08 / $13,015.08 / $13,015.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,015.08 / $13,015.08 / $13,015.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,054.39 / $5,054.39 / $5,054.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,396.56 / $7,776.00 / $34,992.00