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Missouri 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
$741.31 / $1,288.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $467.74 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $912.01 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $831.76