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BCR ABL1 Fusion Transcript Measurement

West 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 $245 · 10th–90th $135$2450%50%10th$245Professionalmedian $132 · 10th–90th $110$1550%50%10th90th$132$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
$134.90
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$154.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$204.17