go back

Alaska rates for HCPCS 81313

PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,819.70 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $257.04 / $812.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $933.25 / $1,047.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $707.95 / $1,230.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $512.86 / $776.25