go back

Idaho 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
$374.15 / $374.15 / $539.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $404.25 / $404.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $431.20 / $808.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.51 / $181.77 / $381.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.43 / $404.25 / $444.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $248.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.59 / $186.58 / $404.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.97 / $518.28 / $1,076.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.18 / $364.77 / $407.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $181.18 / $495.35