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Utah rates for HCPCS 81313

Pca3/Klk3 Prostate Specific Antigen Ratio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $740.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.00 / $224.21 / $702.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.20 / $273.97 / $466.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.05 / $293.31 / $1,032.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.82 / $274.42 / $305.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.63 / $107.12 / $153.03