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Oklahoma 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
$155.47 / $207.31 / $497.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.41 / $153.41 / $221.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.75 / $134.75 / $553.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.37 / $252.60 / $626.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.41 / $290.23 / $624.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $181.18 / $455.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.87 / $1,953.87 / $1,953.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $96.75 / $258.83