go back

New Mexico 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
$361.61 / $1,446.42 / $1,446.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.61 / $361.61 / $950.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.39 / $313.39 / $313.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.32 / $785.89 / $785.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $261.20 / $313.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.71 / $583.39 / $670.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $87.07 / $124.39