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Oklahoma rates for HCPCS 81313

PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.29 / $255.05 / $612.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.74 / $188.74 / $272.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.78 / $165.78 / $681.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.55 / $310.39 / $377.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.74 / $255.05 / $428.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $107.12 / $382.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.55 / $825.55 / $825.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $107.12 / $163.22