go back

Idaho 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
$870.16 / $870.16 / $1,253.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $145.12 / $145.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.13 / $510.83 / $1,880.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.11 / $940.17 / $1,034.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.14 / $482.14 / $578.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.21 / $964.28 / $1,735.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.38 / $720.38 / $744.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $87.07 / $248.77