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Bladder Cancer Molecular Subtype Classifier

Indiana rates for HCPCS 0016M

Assigns a bladder cancer to a molecular subtype, describing what kind of tumor it is at the level of gene activity. It measures the activity of 219 genes in preserved tumor tissue on a microarray and reports a single subtype classification rather than a list of gene readings.

Facilitymedian $5,248 · 10th–90th $3,467$11,4820%20%10th90th$5,248Professionalmedian $2,754 · 10th–90th $200$3,3880%20%10th90th$2,754$200.0$1.0K$5.0K$20.0K

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
$3,981.07
Median
$5,495.41
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$10,471.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$51,286.14
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,606.93
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$3,890.45
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,801.89