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Indiana rates for HCPCS 0154U

Oncology (urothelial cancer), RNA, analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie, p.R248C [c.742C>T], p.S249C [c.746C>G], p.G370C [c.1108G>T], p.Y373C [c.1118A>G], FGFR3-TACC3v1, and FGFR3-TACC3v3) utilizing formalin-fixed paraffin-embedded urothelial cancer tumor tissue, reported as FGFR gene alteration status

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $398.11 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $109.65 / $229.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $7,079.46 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $588.84 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $229.09