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South Dakota rates for HCPCS 0034U

TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15)(eg, thiopurine metabolism) gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $537.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74