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Ohio 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
$389.05 / $645.65 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $389.05 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $588.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $6,760.83 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $7,585.78 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $501.19 / $1,023.29
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $436.52 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $478.63