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Missouri 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
$180.36 / $278.69 / $480.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.56 / $180.36 / $238.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $217.68 / $956.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.53 / $166.12 / $350.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.22 / $434.84 / $1,155.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.40 / $180.21 / $360.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.92 / $259.14 / $984.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $169.70 / $1,036.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.63 / $248.77 / $282.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $268.67