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Arizona 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
$583.83 / $980.32 / $2,556.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.29 / $429.29 / $515.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.89 / $1,061.73 / $1,765.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.11 / $539.79 / $769.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.15 / $999.53 / $1,790.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.57 / $780.98 / $976.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.44 / $397.25 / $3,043.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $512.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $384.44