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Nebraska 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
$136.82 / $880.95 / $2,390.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.82 / $136.82 / $1,333.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.80 / $444.30 / $859.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.35 / $329.62 / $339.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.67 / $422.37 / $530.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.39 / $632.58 / $984.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $124.39 / $817.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.77 / $427.06 / $581.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.77 / $427.06 / $581.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.55 / $352.43 / $422.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.39 / $228.04 / $921.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $124.39 / $183.84