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Utah 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
$223.87 / $1,202.26 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $223.87 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $218.78 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $295.12 / $1,148.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $229.09 / $281.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $724.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $218.78 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $147.91