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Indiana 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
$525.40 / $1,044.39 / $2,364.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.18 / $525.40 / $608.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.00 / $1,922.19 / $3,478.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $208.00 / $387.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.73 / $768.88 / $864.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.73 / $704.80 / $864.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $1,211.08 / $2,499.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $736.38 / $920.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $384.44 / $704.16