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Alaska rates for HCPCS 0012M

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score for having urothelial carcinoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.04 / $5,244.76 / $8,911.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.00 / $2,546.00 / $2,546.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.50 / $2,099.50 / $2,099.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,640.78 / $3,640.78 / $3,640.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.00 / $760.00 / $2,447.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,660.00 / $2,812.00 / $3,040.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.00 / $1,710.00 / $1,710.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,099.50 / $2,812.00 / $3,040.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.00 / $2,090.00 / $2,090.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $1,520.00 / $2,293.08