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Utah 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
$186.58 / $977.68 / $1,281.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.58 / $186.58 / $186.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.11 / $423.85 / $1,328.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.57 / $578.57 / $578.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.14 / $554.46 / $578.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.08 / $487.20 / $601.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $289.27