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Louisiana 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
$269.15 / $354.81 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $467.74 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $281.84 / $309.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $630.96 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $257.04 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $229.09 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $128.82 / $302.00