81313 prior authorization | Blue Cross Blue Shield Oklahoma

81313, Pca3/Klk3 (Prostate Cancer Antigen 3 [Non-Protein Coding]/Kallikrein- Related Peptidase 3 [Prostate Specific Antigen]) Ratio (Eg Prostate Cancer), is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 81313
Description: Pca3/Klk3 (Prostate Cancer Antigen 3 [Non-Protein Coding]/Kallikrein- Related Peptidase 3 [Prostate Specific Antigen]) Ratio (Eg Prostate Cancer)
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 64 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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