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Utah rates for HCPCS 0046U

FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (ITD) variants, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $794.33 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $269.15 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $354.81 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $575.44 / $794.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $346.74 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $1,174.90
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $245.47