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New Hampshire rates for HCPCS 81313

Pca3/Klk3 Prostate Specific Antigen Ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.66 / $627.67 / $1,785.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.94 / $200.00 / $200.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.56 / $493.73 / $1,269.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.02 / $165.78 / $165.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.81 / $963.84 / $1,100.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.18 / $498.37 / $1,059.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.05 / $370.18 / $840.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.12 / $168.58 / $701.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.45 / $254.41 / $3,375.00