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Utah rates for HCPCS 0016M

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $16,982.44 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,162.28 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,090.30 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $16,218.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,467.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $10,000.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,090.30 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $2,089.30