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Massachusetts 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
$199.53 / $512.86 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $630.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $288.40 / $870.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $501.19 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $309.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $245.47 / $660.69
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $537.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $288.40 / $870.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $251.19 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $489.78