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See a sample rate comparisonCPT 0154U Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Pathology Test, 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 Greater Thant) P.S249c (C.746c Greater Than G)P.G370c (C.1108g Greater Than T) P.Y373c (C.1118a Greater Than G) Fgfr3-Tacc3v1 And Fgfr3-Tacc3v3] Utilizing Formalin-Fixed Paraffin-Embedded (Ffpe) Urothelial Cancer Tumor Tissue Reported As Fgfr Gene Alteration Status
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0154U |
| Medicaid Fee Schedule | View Medicaid rates for 0154U |
National average reimbursement for CPT 0154U by major payers:
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CPT 0154U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$482.14Published rateChristopher Raio
St Joseph Hospital
$246.28Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$152.88Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$111.95Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$72.55Published rate
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See a sample payer proposalCPT 0154U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0154U code is part of the Proprietary Laboratory Analyses services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0154U code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0154U-CPT | Moderate | Pathology Test, 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 Greater Thant) P.S249c (C.746c Greater Than G)P.G370c (C.1108g Greater Than T) P.Y373c (C.1118a Greater Than G) Fgfr3-Tacc3v1 And Fgfr3-Tacc3v3] Utilizing Formalin-Fixed Paraffin-Embedded (Ffpe) Urothelial Cancer Tumor Tissue Reported As Fgfr Gene Alteration Status |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0154U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0154U fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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