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Maine rates for HCPCS 0016M

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,290.87 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $1,659.59 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $4,168.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,905.46 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,467.37 / $5,011.87