go back

West Virginia 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
$6,376.32 / $9,720.00 / $11,664.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,832.00 / $6,376.32 / $6,609.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,553.60 / $11,664.00 / $13,608.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,331.20 / $9,331.20 / $10,497.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,318.00 / $9,331.20 / $23,326.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37,480.32 / $37,480.32 / $37,480.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,265.92 / $3,888.00 / $11,275.20