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Maine rates for HCPCS 81313

Pca3/Klk3 Prostate Specific Antigen Ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.05 / $255.05 / $637.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $206.59 / $255.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.81 / $309.81 / $881.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.02 / $102.02 / $190.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.01 / $544.01 / $544.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $257.95 / $269.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.05 / $255.05 / $257.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.05 / $255.05 / $637.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.59 / $255.05 / $255.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.03 / $260.26 / $418.71