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Alaska rates for HCPCS 0012M

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 [CDK1], IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score for having urothelial carcinoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,888.44 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,089.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $2,454.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,818.38 / $3,019.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $2,089.30 / $3,630.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $691.83 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,513.56 / $2,290.87