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Massachusetts 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
$144.54 / $831.76 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $323.59 / $457.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $204.17 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $380.19 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $707.95
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $812.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $870.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $204.17 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $436.52 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $288.40 / $562.34