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Arizona 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
$188.90 / $414.62 / $827.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.20 / $138.90 / $1,333.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.87 / $542.58 / $859.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.03 / $197.86 / $958.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.61 / $363.83 / $606.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.18 / $155.72 / $223.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.79 / $207.31 / $414.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $118.79 / $1,036.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.58 / $248.77 / $254.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $118.79 / $124.39