go back

Leukemia Gene Test For Treatment Planning

Vermont rates for HCPCS 81245

This laboratory analysis looks for a specific genetic change in a gene linked to acute myeloid leukemia, where an extra duplicated segment of the gene appears. Finding this change provides important information about prognosis and can help guide the choice of targeted treatment. The test is typically performed on a blood or bone marrow sample at diagnosis.

Rates data updated July 2026.

How much does Leukemia Gene Test For Treatment Planning cost?

$100

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $331 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$79.43 to $115
FacilityA hospital or hospital-owned outpatient department$331$275 to $380

How much rates vary

Facilitymedian $331 · 10th to 90th $166 to $380Professionalmedian $100 · 10th to 90th $79 to $166
$100$200facility $331professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$114.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$371.54
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$190.55
Typical High
$363.08

Where Vermont sits

The same service costs 3.7 times more in Alaska than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 51st of 51

$100

AK $372VT $100

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.