go back

Wyoming 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
$207.31 / $207.31 / $207.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.83 / $207.31 / $207.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.20 / $542.20 / $650.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.14 / $321.00 / $663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.53 / $414.53 / $414.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.14 / $337.14 / $495.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $124.39 / $431.39