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Indiana 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
$257.04 / $398.11 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $208.93 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $257.04 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $234.42 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $114.82 / $257.04