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New Mexico 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
$380.19 / $812.83 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $549.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $316.23 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $288.40 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $89.13 / $151.36