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Ohio 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
$234.42 / $346.74 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $251.19 / $512.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $3,467.37 / $41,686.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $3,890.45 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $316.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $257.04 / $1,023.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $223.87 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $288.40