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Louisiana 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
$219.75 / $285.68 / $1,016.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $250.85 / $322.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.66 / $429.30 / $791.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $228.04 / $364.65
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.16 / $203.16 / $203.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.91 / $573.88 / $1,279.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $238.48 / $537.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.63 / $169.70 / $207.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $370.88