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Utah 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
$691.83 / $3,715.35 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $691.83 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $660.69 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $3,630.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $870.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $758.58
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $457.09