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Virginia 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 / $1,584.89 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $537.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,862.09 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,071.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,584.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $776.25 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $776.25 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $812.83