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New Jersey 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
$319.11 / $797.78 / $3,906.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.11 / $511.79 / $646.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.90 / $1,675.16 / $3,482.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.73 / $674.96 / $1,276.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.00 / $798.00 / $1,102.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.25 / $456.00 / $760.00