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Maryland 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
Professional
Modifier
Low / Median / High Price
$153.41 / $155.47 / $280.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $228.04 / $275.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $163.72 / $509.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $248.77 / $395.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.22 / $130.61 / $204.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.66 / $203.47 / $203.47