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Michigan 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
$429.54 / $458.03 / $714.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.23 / $572.54 / $950.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.20 / $321.20 / $338.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.20 / $338.11 / $376.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.70 / $587.70 / $734.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.02 / $458.03 / $841.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.02 / $199.02 / $578.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $207.31