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Illinois 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

Facilitymedian $355 · 10th–90th $209–$6310%10%10th90th$355Professionalmedian $195 · 10th–90th $162–$3980%20%10th90th$195$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $851.14 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $288.40 / $478.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $363.08 / $741.31
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $173.78 / $281.84