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Arizona 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
$232.40 / $510.10 / $1,017.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.88 / $200.00 / $1,639.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.74 / $959.81 / $1,520.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.63 / $350.00 / $1,695.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.20 / $447.61 / $746.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.17 / $191.63 / $254.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.88 / $255.05 / $443.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.37 / $107.12 / $1,275.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.63 / $107.12 / $153.03