go back

Montana rates for HCPCS 81313

Pca3/Klk3 Prostate Specific Antigen Ratio

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.31 / $1,639.97 / $1,639.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.82 / $433.59 / $1,453.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.82 / $369.82 / $369.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.82 / $433.59 / $1,453.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.55 / $229.55 / $369.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $107.12 / $255.05