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Ohio 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
$608.00 / $1,097.14 / $1,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.47 / $608.00 / $1,097.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.08 / $820.80 / $1,344.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.39 / $347.16 / $986.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.34 / $874.00 / $1,140.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.00 / $1,026.00 / $1,824.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.00 / $864.50 / $4,337.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.42 / $448.80 / $1,472.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.00 / $864.50 / $4,337.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.42 / $408.99 / $1,472.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.50 / $684.00 / $940.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.88 / $456.00 / $1,225.88