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Michigan 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
$239.88 / $239.88 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $295.12 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $309.03 / $1,000.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $239.88 / $446.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $204.17 / $309.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $147.91 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $199.53