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Alaska rates for HCPCS 81315

PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.82 / $1,430.65 / $2,430.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.49 / $694.49 / $1,333.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.69 / $572.69 / $572.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.12 / $993.12 / $993.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $667.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.59 / $798.14 / $1,337.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.58 / $466.45 / $466.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.69 / $798.14 / $1,337.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $570.10 / $570.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.83 / $511.88 / $625.50