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Minnesota 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 $398 · 10th–90th $209–$1,3490%20%10th90th$398Professionalmedian $209 · 10th–90th $166–$3020%20%40%10th90th$209$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $186.21 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $776.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $302.00 / $426.58
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $1,348.96
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $398.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $371.54 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $218.78 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $218.78 / $467.74