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Nebraska 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
$512.86 / $676.08 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $398.11 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $389.05 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $645.65 / $645.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $239.88 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $257.04