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Washington 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
$608.69 / $1,070.02 / $3,530.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.59 / $602.29 / $621.51
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.77 / $1,051.44 / $3,043.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $525.40 / $909.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.35 / $1,311.88 / $1,654.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.11 / $736.38 / $920.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.73 / $704.80 / $961.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.73 / $961.10 / $1,762.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.62 / $672.77 / $909.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.77 / $1,051.44 / $1,762.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.55 / $640.73 / $1,729.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $640.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.33 / $288.33 / $331.90