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Maine 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
$165.51 / $165.51 / $413.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.06 / $134.06 / $165.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.16 / $243.30 / $699.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.20 / $66.20 / $157.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.02 / $353.02 / $353.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.93 / $167.60 / $174.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.51 / $165.51 / $167.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.51 / $165.51 / $413.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.06 / $165.51 / $165.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.31 / $99.41 / $289.94