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New Jersey 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
$977.24 / $1,000.00 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,659.59
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $9,332.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $758.58 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $794.33