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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
$208.93 / $363.08 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $234.42 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $346.74 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $338.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $263.03 / $562.34
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $426.58