go back

Arizona rates for HCPCS 81245

FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.81 / $335.98 / $660.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.28 / $110.89 / $1,064.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.07 / $433.19 / $686.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $157.96 / $765.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.39 / $290.47 / $484.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $124.26 / $165.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.89 / $165.51 / $306.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $69.69 / $827.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $69.69 / $99.31