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Kansas rates for HCPCS 81313

PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)

Facilitymedian $479 · 10th–90th $245–$7590%20%10th90th$479Professionalmedian $219 · 10th–90th $170–$4170%10%20%10th90th$219$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $549.54 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $467.74 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $245.47 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $288.40 / $398.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $128.82 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $229.09