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New York 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

Facilitymedian $389 · 10th–90th $195$6310%10%10th90th$389Professionalmedian $174 · 10th–90th $102$3980%10%20%10th90th$174$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $398.11 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $186.21 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $436.52
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $208.93
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $446.68 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $288.40 / $1,000.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $208.93 / $575.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $186.21 / $389.05
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $208.93 / $269.15
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $50,118.72
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $154.88 / $323.59
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $208.93 / $251.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $208.93 / $645.65