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Nebraska 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
$537.03 / $1,995.26 / $3,801.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $575.44 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $2,238.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,174.90 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $954.99 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $2,187.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $724.44 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $457.09 / $758.58