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
$870.96 / $870.96 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $389.05 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $912.01 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $512.86 / $1,862.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $933.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,737.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $251.19