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Alaska rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.28 / $4,421.68 / $7,512.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.44 / $2,146.44 / $2,146.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $1,770.00 / $1,770.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.38 / $736.38 / $920.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.44 / $384.44 / $384.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.73 / $640.73 / $2,562.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,370.69 / $2,370.69 / $2,562.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.66 / $961.10 / $2,562.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.44 / $384.44 / $384.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.69 / $640.73 / $1,762.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $1,281.46 / $1,281.46