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Iowa 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
$194.98 / $489.78 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $426.58 / $457.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $309.03 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $309.03 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $562.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04