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Leukemia-Associated Gene Fusion Test

West Virginia rates for HCPCS 81315

This laboratory test looks for a specific genetic fusion, formed when pieces of two different chromosomes join together, that is strongly linked to a particular type of acute leukemia. Finding this fusion helps confirm the diagnosis and can guide the choice of targeted treatment. The test is typically run on a blood or bone marrow sample.

Rates data updated July 2026.

How much does Leukemia-Associated Gene Fusion Test cost?

$170

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $257 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$166$155 to $178
FacilityA hospital or hospital-owned outpatient department$257$170 to $309

How much rates vary

Facilitymedian $257 · 10th to 90th $170 to $447Professionalmedian $166 · 10th to 90th $138 to $195
$100.0$200.0$500.0$1.0Kfacility $257professional $166

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$194.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,000.00
Typical High
$1,000.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$117.49
Typical High
$281.84

Where West Virginia sits

The same service costs 3.4 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $170 · 45th of 51
AK $468DE $138

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.