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Hawaii 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
$630.96 / $758.58 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $645.65 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $870.96 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $912.01 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $758.58 / $1,148.15