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Louisiana 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
$219.75 / $285.68 / $1,016.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $250.85 / $322.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.42 / $392.56 / $634.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $228.04 / $556.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $207.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.91 / $573.88 / $1,874.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $238.48 / $802.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $181.18 / $539.24