go back

Idaho 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
$182.40 / $384.06 / $4,165.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.86 / $322.74 / $322.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.10 / $344.26 / $645.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.29 / $145.05 / $273.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.14 / $322.74 / $355.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.51 / $168.82 / $198.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.62 / $148.96 / $322.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.27 / $355.85 / $595.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.35 / $290.99 / $290.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $69.69 / $200.21