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BCR ABL1 Fusion Transcript Measurement

Virginia 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 $174 · 10th–90th $155$6460%20%10th90th$174Professionalmedian $126 · 10th–90th $81$1820%10%20%10th90th$126$100.0$200.0$500.0$1.0K$2.0K

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
$123.03
Median
$346.74
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$134.90
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$134.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$407.38
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$229.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$288.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$346.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$162.18
Typical High
$316.23
Sentara
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$162.18
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$204.17