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Alaska rates for HCPCS 0154U

Oncology (urothelial cancer), RNA, analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie, p.R248C [c.742C>T], p.S249C [c.746C>G], p.G370C [c.1108G>T], p.Y373C [c.1118A>G], FGFR3-TACC3v1, and FGFR3-TACC3v3) utilizing formalin-fixed paraffin-embedded urothelial cancer tumor tissue, reported as FGFR gene alteration status

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,801.89 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $467.74 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,548.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,778.28 / $1,949.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,318.26 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $416.87 / $630.96