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Virginia 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 / $562.34 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $177.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $794.33 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $630.96 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $281.84 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $288.40 / $436.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $537.03
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $316.23 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $295.12