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Hawaii 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
$210.42 / $238.47 / $306.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.06 / $306.06 / $306.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.08 / $274.43 / $327.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.56 / $306.06 / $357.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.14 / $306.06 / $382.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.29 / $374.92 / $573.86