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Utah rates for HCPCS 0016M

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,140.67 / $16,457.09 / $21,576.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,140.67 / $3,140.67 / $3,140.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.76 / $3,067.77 / $9,615.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,187.56 / $4,187.56 / $4,187.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,489.63 / $4,013.07 / $4,187.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.63 / $4,014.99 / $5,215.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.64 / $1,465.64 / $2,093.78