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BCR ABL1 Fusion Transcript Measurement

South Dakota 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 July 2026.

Facilitymedian $316 · 10th–90th $186$3160%50%10th$316Professionalmedian $204 · 10th–90th $110$3980%10%10th90th$204$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
$114.82
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$102.33
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$218.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18