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Virginia 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

Facilitymedian $813 · 10th–90th $646$2,9510%20%10th90th$813Professionalmedian $537 · 10th–90th $302$9120%10%20%10th90th$537$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$575.44 / $1,584.89 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $575.44 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $3,235.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $512.86
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $645.65 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,513.56 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $831.76 / $1,071.52
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $758.58 / $1,288.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $1,584.89
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $912.01 / $1,949.84
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $912.01 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $831.76