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Idaho 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
$457.09 / $457.09 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $436.52 / $912.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $524.81 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $380.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $316.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $489.78 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $269.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $239.88