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Utah 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
$1,171.98 / $1,174.21 / $1,536.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.46 / $340.46 / $1,174.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.41 / $218.47 / $684.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.20 / $298.20 / $298.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.51 / $285.79 / $452.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $258.99 / $310.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $104.37 / $149.11