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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
$302.00 / $776.25 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $758.58 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $363.08 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $263.03 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $165.96 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $269.15 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $107.15 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $151.36