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Arizona 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
$371.54 / $954.99 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $323.59 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,762.47 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $316.23 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $478.63 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $478.63 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $204.17