go back

Utah 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
$79.28 / $79.28 / $176.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.28 / $79.28 / $79.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.47 / $145.50 / $456.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.80 / $172.93 / $302.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.51 / $190.34 / $670.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.50 / $183.36 / $217.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $69.69 / $99.31