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Idaho rates for HCPCS 0023U

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.51 / $448.51 / $646.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.13 / $646.13 / $646.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.84 / $516.90 / $969.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.01 / $484.59 / $533.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $298.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $484.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.77 / $497.02 / $894.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.63 / $371.63 / $383.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $104.37 / $285.79