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Missouri 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
$544.62 / $836.16 / $1,114.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.62 / $557.44 / $621.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $440.82 / $1,225.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.57 / $1,343.95 / $1,527.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.79 / $310.08 / $920.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.44 / $1,114.86 / $3,043.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $384.44 / $724.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $384.44 / $768.88