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South Carolina 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
$177.83 / $630.96 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $645.65 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $120.23 / $269.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $229.09 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $229.09