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Pennsylvania rates for HCPCS 81206

BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.37 / $515.73 / $909.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.24 / $134.44 / $270.52
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.09 / $339.39 / $1,827.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.60 / $1,029.53 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.89 / $127.89 / $127.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.59 / $242.34 / $544.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.34 / $175.61 / $371.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.55 / $221.35 / $311.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.06 / $379.02 / $577.04
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.96 / $329.64 / $752.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.37 / $498.27 / $732.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.29 / $146.81 / $677.16
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.12 / $1,312.12 / $1,312.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.66 / $245.94 / $327.92
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.63 / $272.77 / $544.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.01 / $189.37 / $371.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.96 / $163.96 / $247.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.96 / $163.96 / $247.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $98.38 / $250.53