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South Dakota rates for HCPCS 0016U

Oncology (hematolymphoid neoplasia), RNA, BCR/ABL1 major and minor breakpoint fusion transcripts, quantitative PCR amplification, blood or bone marrow, report of fusion not detected or detected with quantitation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.12 / $154.12 / $154.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.85 / $127.89 / $154.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.05 / $327.05 / $327.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.41 / $297.68 / $372.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.74 / $185.65 / $300.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.38 / $103.23 / $357.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.58 / $330.75 / $359.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.75 / $346.83 / $369.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.46 / $395.03 / $450.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $103.23 / $216.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.96 / $163.96 / $163.96