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BCR ABL1 Fusion Transcript Measurement

Montana rates for HCPCS 0016U

Tracks how much of the BCR-ABL1 abnormality remains in someone being treated for a blood cancer such as chronic myeloid leukemia, which shows how well treatment is working. The test measures the amount of the fused BCR-ABL1 message in RNA and covers both the major and the minor breakpoint forms. Blood or a bone-marrow sample can be used.

Rates data updated June 2026.

Facilitymedian $224 · 10th–90th $162$5010%20%10th90th$224Professionalmedian $155 · 10th–90th $98$2040%10%10th90th$155$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$138.04
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$501.19
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$501.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$204.17