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South Dakota rates for HCPCS 0030U

Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.08 / $126.08 / $126.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.62 / $126.08 / $126.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.64 / $267.64 / $267.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.08 / $244.15 / $305.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.60 / $151.88 / $246.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $80.48 / $262.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $245.29 / $293.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.96 / $245.29 / $293.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.81 / $323.16 / $368.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $68.41 / $134.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $134.13 / $134.13