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Arizona 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
$692.51 / $1,120.24 / $3,032.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.40 / $570.00 / $646.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.35 / $1,755.88 / $2,781.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.20 / $640.29 / $3,101.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.42 / $1,185.59 / $2,124.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.20 / $760.00 / $1,371.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $319.20 / $3,800.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.00 / $760.00 / $950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $319.20 / $456.00