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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
$439.32 / $710.67 / $1,923.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.07 / $176.21 / $361.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.46 / $9,890.99 / $15,668.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.04 / $338.96 / $1,641.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.47 / $783.48 / $1,410.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.02 / $482.14 / $880.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $87.07 / $2,401.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $87.07 / $202.50