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Wisconsin 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
$489.78 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $316.23 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $66.07 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,023.29 / $1,258.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,659.59 / $2,398.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $489.78 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $407.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $954.99 / $1,348.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,949.84 / $1,949.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,621.81 / $2,041.74
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,238.72 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $407.38