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Transplant Rejection Immune Cell Risk Score

South Dakota rates for HCPCS 0018M

Estimates the risk that a transplanted organ will be rejected by examining the patient's own immune cells. It counts memory T cells carrying the CD154 marker in a blood sample and reports a single combined risk score, rather than measuring genetic material from the transplant.

Facilitymedian $603 · 10th–90th $603$7240%50%90th$603Professionalmedian $603 · 10th–90th $427$1,3180%20%10th90th$603$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$831.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,479.11
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$851.14
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65