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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.87 / $194.87 / $194.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $194.87 / $248.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.16 / $238.41 / $510.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.85 / $207.31 / $207.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.75 / $756.08 / $1,818.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.68 / $302.64 / $403.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.22 / $691.24 / $1,432.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.30 / $238.30 / $376.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.77 / $383.52 / $649.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $221.22 / $546.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $221.22 / $475.55