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BCR ABL1 Fusion Transcript Measurement

South Carolina 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.

Facilitymedian $229 · 10th–90th $115$7760%10%10th90th$229Professionalmedian $132 · 10th–90th $110$1950%20%10th90th$132$100.0$200.0$500.0$1.0K

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
$114.82
Median
$407.38
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$173.78
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$194.98