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Michigan 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 / $196.94 / $307.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.29 / $196.94 / $196.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.17 / $234.49 / $411.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.71 / $155.47 / $166.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.60 / $215.60 / $215.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $130.46 / $288.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.94 / $196.94 / $361.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.25 / $265.86 / $282.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.65 / $188.81 / $231.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $207.31 / $339.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $282.83