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West Virginia 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 / $800.91 / $961.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.55 / $518.99 / $525.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.80 / $864.99 / $961.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.88 / $768.88 / $864.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.59 / $768.88 / $1,922.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $773.30 / $3,088.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $288.33 / $929.06