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Utah rates for HCPCS 0045U

Oncology (breast ductal carcinoma in situ), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $18,620.87 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,467.37 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,388.44 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,079.46 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,715.35 / $4,365.16
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,890.45
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,388.44 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,344.23