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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
$446.68 / $446.68 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $467.74 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $512.86 / $977.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $478.63 / $891.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $263.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $251.19