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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

Facilitymedian $288 · 10th–90th $200–$4900%10%20%10th90th$288Professionalmedian $195 · 10th–90th $102–$4270%10%10th90th$195$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
$199.53 / $346.74 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $194.98 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $186.21 / $537.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $616.60 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $208.93 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $199.53 / $389.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $257.04 / $977.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $208.93 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $208.93 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $123.03 / $281.84