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Maine 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 / $257.04 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $199.53 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $295.12 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $257.04 / $257.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $309.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $389.05