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Idaho 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
$1,380.38 / $1,380.38 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $616.60 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $562.34 / $1,258.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $794.33 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,513.56 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $724.44