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Louisiana rates for HCPCS 0113U

Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,479.11 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $165.96 / $165.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,412.54 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $380.19 / $1,071.52