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New Hampshire 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
$1,230.27 / $1,230.27 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $933.25 / $2,754.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $316.23 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,513.56 / $2,137.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $478.63