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Rhode Island 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
$4,370.00 / $4,370.00 / $4,370.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $562.40 / $623.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.62 / $895.13 / $934.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.00 / $1,007.00 / $1,007.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.00 / $608.00 / $608.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $456.00 / $1,096.15