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South Dakota rates for HCPCS 0040U

BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $467.74 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38