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Maine 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
$482.14 / $482.14 / $1,024.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $167.92 / $167.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.86 / $192.86 / $313.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.14 / $482.14 / $486.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.14 / $482.14 / $781.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $167.92 / $482.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $124.39 / $362.79