go back

Tennessee 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
$95.50 / $380.19 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $380.19 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $977.24 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,630.78 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $208.93 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $288.40