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Michigan 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

Facilitymedian $724 · 10th–90th $724–$1,3180%50%90th$724Professionalmedian $617 · 10th–90th $389–$9120%20%10th90th$617$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $524.81 / $1,148.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,318.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $1,023.29
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $363.08 / $602.56