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Delaware rates for HCPCS 81539

Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 [hK2]), utilizing plasma or serum, prognostic algorithm reported as a probability score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $874.00 / $874.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.20 / $509.20 / $630.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.00 / $494.00 / $494.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.01 / $330.10 / $873.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.01 / $456.00 / $1,672.00