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Transplant Rejection Immune Cell Risk Score

Maine rates for HCPCS 0018M

Estimates the risk that a transplanted organ will be rejected by examining the patient's own immune cells. It counts memory T cells carrying the CD154 marker in a blood sample and reports a single combined risk score, rather than measuring genetic material from the transplant.

Rates data updated July 2026.

How much does Transplant Rejection Immune Cell Risk Score cost?

$646

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $646 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$417 to $646
FacilityA hospital or hospital-owned outpatient department$646$646 to $1,445

How much rates vary

Facilitymedian $646 · 10th to 90th $646 to $1,585Professionalmedian $525 · 10th to 90th $269 to $776
$200$500$1K$2Kfacility $646professional $525

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$831.76
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$776.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,584.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$933.25

Where Maine sits

The same service costs 2.3 times more in North Dakota than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 16th of 51

$646

ND $977CT $417

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.