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Iowa 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
$223.48 / $403.31 / $880.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.82 / $180.36 / $201.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.98 / $376.67 / $470.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $310.97 / $381.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $269.50 / $581.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $213.53 / $1,036.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.77 / $422.37 / $581.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.98 / $422.37 / $593.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $370.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.97 / $310.97 / $310.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $124.39 / $426.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $207.31