go back

Georgia 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
$137.86 / $364.85 / $657.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.86 / $180.36 / $231.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.63 / $264.86 / $717.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.78 / $102.38 / $440.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $300.60 / $445.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.85 / $336.88 / $639.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.36 / $292.97 / $878.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $284.54 / $1,615.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.85 / $290.23 / $383.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.58 / $186.58 / $254.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $141.41 / $376.70