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Washington, DC 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
$155.47 / $155.47 / $1,268.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $155.47 / $161.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $228.04 / $1,729.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.88 / $350.35 / $753.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.21 / $466.41 / $1,615.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.41 / $421.40 / $421.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $167.90 / $194.13