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Nationwide rates for HCPCS 81316

PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative or quantitative

Facilitymedian $355 · 10th–90th $186$9770%10%10th90th$355Professionalmedian $195 · 10th–90th $129$4070%20%10th90th$195$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$181.97 / $380.19 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $194.98 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $281.84 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $436.52 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $251.19 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $426.58