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Bladder Cancer Molecular Subtype Classifier

Kentucky 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 $5,623 · 10th–90th $2,754$52,4810%10%20%10th90th$5,623Professionalmedian $2,455 · 10th–90th $200$3,4670%10%20%10th90th$2,455$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
$2,754.23
Median
$3,467.37
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,754.23
Typical High
$3,388.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$46,773.51
Typical High
$87,096.36
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,897.79
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$5,623.41
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$16,982.44
Typical High
$16,982.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$3,467.37