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Vermont rates for HCPCS 0013M

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 recurrent urothelial carcinoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $942.40 / $942.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.05 / $1,272.05 / $1,272.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.05 / $1,272.05 / $1,272.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $494.00 / $494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.97 / $760.00 / $3,420.00