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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
$2,454.71 / $2,454.71 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,677.35 / $17,782.79