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Virginia 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
$195.80 / $435.35 / $742.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $169.99 / $195.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $207.31 / $1,018.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $102.38 / $155.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $207.31 / $277.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.75 / $456.89 / $1,061.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.67 / $138.85 / $410.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $248.77 / $306.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.27 / $229.09 / $391.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $355.00 / $489.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.58 / $251.08 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.89 / $251.08 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.21 / $207.31 / $339.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $118.79 / $282.83