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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
$377.47 / $1,760.11 / $2,990.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.42 / $854.42 / $1,639.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.57 / $704.57 / $704.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,221.82 / $1,221.82 / $1,221.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.05 / $255.05 / $821.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.68 / $943.69 / $1,041.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.55 / $573.86 / $573.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.57 / $981.94 / $1,221.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.55 / $701.39 / $701.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.14 / $510.10 / $769.54