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Maine 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
$758.58 / $758.58 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $891.25 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $363.08 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $912.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,096.48