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Transplant Rejection Immune Cell Risk Score

Wisconsin 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.

Facilitymedian $1,175 · 10th–90th $479$3,0200%10%20%10th90th$1,175Professionalmedian $661 · 10th–90th $209$1,9950%20%10th90th$661$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$776.25
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$602.56
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,862.09
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$831.76
Typical High
$1,995.26
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,238.72
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$602.56
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$380.19
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$323.59
Typical High
$954.99
Network Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,819.70
Network Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,288.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$812.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$2,089.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,019.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$512.86
Typical High
$1,380.38
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$1,148.15