Test ID: PMLR
PML/RARA Quantitative, PCR
List Fee 
Provides the Mayo Medical Laboratories list fee for performing the test
$546.40
The following test(s) will be added at an additional charge:
$87.50 for #81481 "Interpretation and Report"
$633.90 = Total List Fee
Test Classification Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer's instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR), Investigation Use Only (IUO) product, or a Research Use Only (RUO) product.
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.
CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.
81315-PML/RARalpha, (t(15;I7)), (PML-RARA regulated adaptor molecule 1) (eg, promyelocytic leukemia) translocation analysis; common breakpoints (eg, intron 3 and intron 6), qualitative or quantitative
For nonparticipating payers:
PML/RARA Quantitative, PCR
83891-Isolation or extraction of highly purified nucleic acid
83896-Nucleic acid probe, each
83898 x 2-Amplification, target, each nucleic acid sequence
83902-Reverse transcription
Interpretation and Report
83912
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