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Vermont 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
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $575.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $213.80 / $588.84