go back

Louisiana 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
$87.98 / $114.37 / $406.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $100.43 / $107.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.45 / $150.55 / $220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $91.30 / $107.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $83.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.90 / $206.88 / $385.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.21 / $85.97 / $170.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.06 / $43.49 / $109.43