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Michigan 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
$457.09 / $457.09 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $398.11 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $741.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $851.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $575.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $478.63 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $208.93