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Washington, DC 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
$190.55 / $190.55 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $812.83 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $302.00