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Bladder Cancer Detection Urine Score

Kentucky rates for HCPCS 0012M

Estimates the likelihood that urothelial cancer, which affects the lining of the bladder, is present in someone not previously diagnosed. It measures the activity of five genes — MDK, HOXA13, CDK1, IGFBP5 and CXCR2 — in urine and reports one combined score.

Facilitymedian $794 · 10th–90th $617$13,4900%10%20%10th90th$794Professionalmedian $575 · 10th–90th $200$7410%20%10th90th$575$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$602.56
Typical High
$741.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$794.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$11,481.54
Typical High
$41,686.94
CareSource
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,202.26
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$3,630.78
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58