go back

Oklahoma rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.00 / $520.00 / $1,248.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.80 / $384.80 / $556.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $338.00 / $456.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.72 / $633.47 / $758.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.80 / $520.00 / $873.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $218.40 / $780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $218.40 / $332.80