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Prostate Cancer Urine And PSA Risk Test

West Virginia rates for HCPCS 0113U

Estimates the risk that a man has prostate cancer, to help decide whether a biopsy is warranted. It measures two RNA markers in urine, PCA3 and the TMPRSS2-ERG fusion, and combines them with the PSA protein level from blood into a single risk score.

Facilitymedian $1,148 · 10th–90th $617$1,1480%50%10th$1,148Professionalmedian $617 · 10th–90th $513$6460%20%40%10th90th$617$500.0$1.0K$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
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$831.76