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South Dakota rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.40 / $714.40 / $714.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.20 / $714.40 / $714.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.15 / $1,515.15 / $1,515.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.23 / $1,380.67 / $1,725.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.29 / $860.55 / $3,610.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.60 / $684.00 / $1,140.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.00 / $1,389.85 / $1,656.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.75 / $1,656.17 / $1,983.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $1,831.07 / $2,087.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $456.00 / $912.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $760.00