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South Dakota rates for HCPCS 0046U

FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (ITD) variants, quantitative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.76 / $82.76 / $82.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.08 / $812.08 / $812.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.42 / $740.28 / $925.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.53 / $461.34 / $747.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $99.31 / $407.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.81 / $525.77 / $892.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.49 / $488.92 / $892.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.43 / $981.62 / $1,119.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.41 / $148.96 / $171.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.43 / $407.43 / $407.43