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Maine 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
$251.19 / $251.19 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.25 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $295.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $363.08