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Nebraska 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
$338.84 / $1,258.93 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $363.08 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $316.23 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $123.03 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $309.03 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $123.03 / $407.38