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South Dakota rates for HCPCS 0009U

Oncology (breast cancer), ERBB2 (HER2) copy number by FISH, tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting, reported as ERBB2 gene amplified or non-amplified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.69 / $71.69 / $83.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.47 / $213.47 / $213.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.84 / $194.53 / $243.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.99 / $121.16 / $196.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.57 / $64.20 / $209.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.08 / $203.70 / $273.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $207.69 / $234.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.01 / $257.80 / $293.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $54.57 / $107.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $107.00 / $107.00