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Tennessee 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 / $259.14 / $725.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $161.69 / $196.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.80 / $242.31 / $431.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.84 / $519.14 / $1,094.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.40 / $184.90 / $587.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.72 / $984.72 / $984.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.30 / $1,488.30 / $1,554.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $207.31 / $310.97