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Wisconsin 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

Facilitymedian $537 · 10th–90th $224$1,7780%20%10th90th$537Professionalmedian $245 · 10th–90th $102$7590%5%10%10th90th$245$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $562.34 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $660.69 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $645.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $1,819.70 / $2,754.23
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $263.03 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $257.04 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $208.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $251.19 / $489.78
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $354.81 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $831.76
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $977.24 / $977.24
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $1,047.13 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $436.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $186.21 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $426.58