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Utah 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
$186.21 / $1,000.00 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $323.59 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $575.44 / $2,238.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $426.58 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $288.40