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Louisiana rates for HCPCS 0023U

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $354.81 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $446.68 / $616.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $457.09 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $123.03 / $346.74