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Tennessee 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
$575.44 / $707.95 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $602.56 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,548.82 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $5,754.40 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $363.08 / $691.83