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Missouri 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
$176.21 / $278.69 / $480.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.56 / $180.36 / $238.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $217.68 / $956.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $259.52 / $794.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.27 / $439.55 / $1,764.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.40 / $197.43 / $368.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.21 / $259.54 / $984.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $215.70 / $1,488.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $138.21 / $426.15