go back

North Dakota 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
$145.12 / $145.12 / $373.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.12 / $194.87 / $194.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.06 / $417.73 / $466.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.30 / $238.30 / $349.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.39 / $161.69 / $388.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.18 / $300.60 / $542.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $221.22 / $431.39