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Louisiana 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
$285.79 / $413.52 / $1,353.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.41 / $856.11 / $1,007.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.14 / $444.41 / $624.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.51 / $248.51 / $248.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.00 / $476.61 / $1,754.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $149.11 / $323.06