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Massachusetts 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
$301.22 / $585.03 / $1,534.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $301.22 / $349.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.10 / $292.06 / $1,007.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $258.83 / $934.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.71 / $581.60 / $1,016.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.49 / $404.49 / $404.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $352.44 / $498.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $218.70 / $540.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.19 / $299.19 / $351.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $688.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.72 / $984.72 / $984.72
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $258.83 / $1,488.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $160.12 / $496.10