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Rhode Island rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,370.00 / $4,370.00 / $4,370.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.40 / $623.20 / $623.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $1,558.42 / $1,731.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,247.02 / $2,247.02 / $2,247.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.50 / $873.50 / $1,091.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $912.00 / $912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.00 / $456.00 / $1,096.15