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Louisiana 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
$812.83 / $1,096.48 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,348.96 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $933.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $1,071.52