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South Dakota rates for HCPCS 0050U

Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,814.49 / $5,814.49 / $5,814.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,189.37 / $5,297.47 / $6,621.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.69 / $3,302.46 / $5,354.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.47 / $1,749.96 / $5,707.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.68 / $5,333.73 / $6,391.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,499.92 / $5,333.73 / $6,391.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,170.74 / $7,026.96 / $8,012.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.97 / $1,487.47 / $2,916.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,916.60 / $2,916.60 / $2,916.60