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Rhode Island 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
$316.23 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $295.12 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $707.95 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $151.36 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $380.19