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Indiana 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
$554.46 / $940.17 / $1,779.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $140.97 / $176.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.93 / $1,446.42 / $2,617.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.44 / $109.93 / $148.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.14 / $626.78 / $771.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.14 / $578.57 / $723.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.39 / $911.52 / $1,879.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.11 / $587.50 / $703.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $227.83