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Pennsylvania 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
$742.01 / $1,687.49 / $1,991.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.87 / $124.39 / $136.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.07 / $376.07 / $376.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.47 / $642.04 / $1,599.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.91 / $2,323.91 / $2,323.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.25 / $650.89 / $1,190.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.04 / $1,991.24 / $1,991.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $1,991.24 / $1,991.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.57 / $723.21 / $964.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.47 / $642.04 / $1,599.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.91 / $2,323.91 / $2,323.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.14 / $482.14 / $530.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.14 / $482.14 / $530.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.50 / $202.50 / $202.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $152.68 / $476.81