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Georgia 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
$169.82 / $467.74 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $275.42 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $199.53 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $501.19 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $257.04 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $331.13 / $1,995.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $229.09 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $331.13