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Louisiana 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
$175.44 / $228.07 / $811.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $200.27 / $215.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.73 / $323.22 / $517.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.96 / $182.06 / $213.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $165.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $412.87 / $768.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.12 / $171.57 / $340.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.51 / $148.96 / $165.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $82.96 / $207.40