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Maine 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
$758.58 / $758.58 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $588.84 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,890.45 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $676.08 / $1,122.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $912.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $758.58 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $758.58 / $1,047.13