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Minnesota 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
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $758.58 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,884.03 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,122.02 / $1,548.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,630.27 / $5,495.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $630.96 / $1,621.81