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Virginia 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 / $393.47 / $742.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.47 / $169.99 / $195.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.31 / $207.31 / $1,018.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $102.38 / $155.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.04 / $444.68 / $1,898.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.75 / $513.29 / $1,088.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.67 / $154.69 / $592.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $248.77 / $306.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.80 / $413.94 / $727.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $435.35 / $564.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.58 / $272.01 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.89 / $272.01 / $9,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $165.85 / $431.39