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Oklahoma rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.58 / $640.73 / $1,537.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.55 / $480.55 / $512.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.75 / $147.47 / $213.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $562.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.47 / $736.38 / $920.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.44 / $384.44 / $3,043.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $640.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $269.11 / $384.44