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Illinois rates for HCPCS 0013M

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 recurrent urothelial carcinoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,412.54 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,000.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,023.29 / $1,380.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $758.58