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Oklahoma rates for HCPCS 81402

Molecular pathology procedure, Level 3 (eg, >10 SNPs, 2-10 methylated variants, or 2-10 somatic variants [typically using non-sequencing target variant analysis], immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.75 / $150.33 / $360.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $111.24 / $160.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.11 / $295.77 / $428.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.81 / $142.81 / $142.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.71 / $97.71 / $401.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.01 / $183.43 / $219.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.24 / $150.33 / $252.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $63.14 / $225.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.14 / $63.14 / $96.21