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Connecticut 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
$196.94 / $267.43 / $576.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.20 / $186.98 / $499.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $80.06 / $410.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $105.72 / $406.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.52 / $312.27 / $940.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.68 / $257.95 / $515.40
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $276.14 / $393.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.36 / $141.41 / $363.81