go back

Wyoming 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
$255.05 / $255.05 / $255.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.99 / $255.05 / $255.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.60 / $327.60 / $393.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.81 / $395.00 / $816.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.14 / $510.14 / $510.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.90 / $414.90 / $548.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.63 / $107.12 / $212.14