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South Dakota rates for HCPCS 0023U

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.00 / $708.00 / $708.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.48 / $495.48 / $495.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.73 / $451.08 / $563.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.55 / $281.39 / $456.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.74 / $149.11 / $541.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.68 / $454.46 / $544.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.20 / $454.46 / $544.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.37 / $598.74 / $682.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.37 / $126.74 / $248.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $248.51