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BCR ABL1 Fusion Transcript Measurement

Wisconsin 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 $447 · 10th–90th $162$9120%20%10th90th$447Professionalmedian $155 · 10th–90th $81$5130%10%10th90th$155$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
$194.98
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$436.52
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$416.87
Typical High
$512.86
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$851.14
Typical High
$1,288.25
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$208.93
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$588.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$467.74
Network Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$389.05
Quartz
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$537.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$776.25
Typical High
$776.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$812.83
Typical High
$812.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Security Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$144.54
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$112.20
Typical High
$245.47