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Connecticut 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
$196.94 / $270.33 / $797.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.64 / $285.20 / $761.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $431.39 / $777.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.28 / $118.46 / $576.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.52 / $351.53 / $940.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.69 / $282.76 / $671.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $276.14 / $393.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.36 / $143.10 / $431.39