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Tennessee 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
$190.55 / $239.88 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $257.04 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $575.44 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,905.46 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $112.20 / $257.04