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BCR ABL1 Fusion Transcript Measurement

New Mexico 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 $257 · 10th–90th $120$5370%20%10th90th$257Professionalmedian $155 · 10th–90th $85$1950%10%20%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
Facility
Modifier
Global
Typical Low
$245.47
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$354.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$213.80
Typical High
$363.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$97.72