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Vermont 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
Professional
Modifier
Low / Median / High Price
$301.22 / $534.91 / $1,333.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.98 / $346.98 / $346.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.34 / $592.45 / $650.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.98 / $346.98 / $346.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $592.45 / $650.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $290.23 / $663.61