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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
$248.51 / $248.51 / $528.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $248.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $109.34 / $161.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.05 / $530.05 / $530.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $251.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.51 / $248.51 / $402.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $248.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.11 / $248.51 / $434.89