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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
$190.55 / $257.04 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $309.03 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $275.42 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $169.82