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PML/RARA Fusion Gene Test

South Dakota rates for HCPCS 81316

Looks for an abnormal joining of the PML and RARA genes in a blood or bone marrow sample. This fusion is the defining feature of acute promyelocytic leukemia, a form of leukemia that responds to particular treatment, so the test is used to confirm the diagnosis quickly and to check afterwards whether any disease remains.

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $234$3980%50%10th$398Professionalmedian $347 · 10th–90th $138$5750%10%10th90th$347$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
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$208.93
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93