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Nebraska rates for HCPCS 0113U

Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.60 / $501.60 / $537.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.60 / $501.60 / $501.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.18 / $1,162.94 / $2,249.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.44 / $1,208.40 / $1,246.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.00 / $1,380.67 / $1,725.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $953.04 / $3,610.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $456.00 / $2,196.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $1,495.45 / $2,113.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.00 / $1,495.45 / $1,945.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.20 / $456.00 / $684.00