go back

Michigan rates for HCPCS 81313

Pca3/Klk3 Prostate Specific Antigen Ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.30 / $242.30 / $377.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.34 / $242.30 / $242.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.90 / $288.50 / $506.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.73 / $191.29 / $204.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.73 / $255.05 / $573.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.45 / $242.30 / $445.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $229.55 / $306.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $117.36 / $212.14