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Arizona 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.90 / $414.62 / $827.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $166.68 / $1,333.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.87 / $542.58 / $859.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.03 / $197.86 / $958.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.48 / $363.83 / $606.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.40 / $155.72 / $223.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.79 / $217.68 / $486.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $180.91 / $1,488.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $93.27 / $181.18