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Massachusetts 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
$145.12 / $1,084.82 / $1,469.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.31 / $145.12 / $167.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.92 / $2,290.17 / $2,290.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $248.77 / $2,401.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.29 / $344.73 / $1,096.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.50 / $587.50 / $703.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.93 / $695.93 / $818.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.14 / $482.14 / $1,207.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.92 / $2,290.17 / $2,290.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $248.77 / $2,401.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $202.50 / $557.66