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Texas 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 $417 · 10th–90th $158$1,0720%5%10%10th90th$417Professionalmedian $166 · 10th–90th $87$2820%10%10th90th$166$2.0$10.0$50.0$200.0$1.0K

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
$144.54 / $389.05 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $165.96 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $691.83 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $208.93 / $281.84
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $204.17 / $288.40
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $457.09 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $194.98 / $380.19
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,548.82 / $1,548.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $177.83 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $208.93
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $223.87 / $446.68
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $239.88 / $870.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $208.93 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $117.49 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $144.54 / $208.93