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Missouri 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
$245.47 / $426.58 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $257.04 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $489.78 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $245.47 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $281.84