go back

Montana 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
Professional
Modifier
Low / Median / High Price
$190.34 / $1,064.23 / $1,064.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.63 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.99 / $281.37 / $943.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.99 / $239.99 / $239.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.99 / $281.37 / $943.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.96 / $148.96 / $239.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $69.51 / $165.51