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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
$218.78 / $288.40 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $218.78 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $398.11 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $229.09 / $229.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $575.44 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $208.93 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $208.93 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $151.36 / $478.63