FLT3 gene internal tandem duplication test, quantitative at Medical City Lewisville

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants, quantitative

LEWISVILLE, TX

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How this price compares nationally

Medical City Lewisville’s median price of $428 is about the same as the median hospital's median price ($424), higher than 53% of the 1,353 hospitals reporting CPT 0046U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0046U at Medical City Lewisville

Negotiated rates from the hospital’s own file: 11 payers, 40 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$281.37	$281.37	$281.37 – $281.37
2	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$289.64	$289.64	$289.64 – $289.64
3	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$289.64	$289.64	$289.64 – $289.64
4	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
5	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
6	Devoted hmo fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
7	Devoted mcr fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
8	Devoted mme fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
9	Devoted pos fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
10	Devoted ppo fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
11	Devoted snp fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
12	Humana mgmcr fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
13	UnitedHealthcare allpayerappendix fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
14	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
15	UnitedHealthcare smallgroup fee schedule · outpatient	$407.43	$407.43	$407.43 – $407.43
16	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$408.81	$408.81	$408.81 – $408.81
17	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$408.81	$408.81	$408.81 – $408.81
18	UnitedHealthcare mgmcr fee schedule · outpatient	$409.47	$409.47	$409.47 – $409.47
19	Aetna mcr fee schedule · outpatient	$410.89	$410.89	$410.89 – $410.89
20	Cigna Healthspring mgmcr fee schedule · outpatient	$415.58	$415.58	$415.58 – $415.58
21	WellCare mgmcr fee schedule · outpatient	$419.65	$419.65	$419.65 – $419.65
22	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$427.80	$427.80	$427.80 – $427.80
23	Superior Healthplan mgmcrhmo fee schedule · outpatient	$427.80	$427.80	$427.80 – $427.80
24	Superior Healthplan mgmcrpffs fee schedule · outpatient	$427.80	$427.80	$427.80 – $427.80
25	Superior Healthplan mgmcrpos fee schedule · outpatient	$427.80	$427.80	$427.80 – $427.80

Page 1 of 2 · 40 rates

Last updated: Mar 1, 2026

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