go back

Idaho rates for HCPCS 81246

FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $163.19 / $192.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $161.85 / $161.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.73 / $172.64 / $323.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.91 / $72.83 / $137.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.87 / $161.85 / $178.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $83.00 / $99.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $74.70 / $161.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.50 / $166.00 / $298.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.25 / $145.79 / $145.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.02 / $34.86 / $87.98