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Montana 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
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $323.59 / $758.58
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $758.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $363.08 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $223.87 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $251.19