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Massachusetts 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
$197.48 / $551.70 / $881.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.20 / $186.98 / $270.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.10 / $292.06 / $694.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $217.68 / $822.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.71 / $581.60 / $1,016.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.19 / $265.19 / $265.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $282.98 / $471.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $207.17 / $540.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.19 / $299.19 / $351.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $674.12
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.10 / $244.10 / $253.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.72 / $984.72 / $984.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $169.70 / $1,036.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $165.85 / $395.15