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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
$191.29 / $382.58 / $765.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.29 / $306.06 / $1,639.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.78 / $165.78 / $165.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.52 / $228.52 / $289.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.33 / $415.73 / $415.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.78 / $260.26 / $321.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.57 / $308.61 / $354.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $89.10 / $153.03