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Mississippi 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 / $1,380.38 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $512.86 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $588.84 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $691.83 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $1,348.96