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Montana 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
$238.41 / $1,333.00 / $1,333.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.60 / $352.43 / $1,181.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.60 / $300.60 / $300.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.60 / $352.43 / $1,181.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.58 / $186.58 / $300.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $87.07 / $207.31