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South Dakota rates for HCPCS 0055U

Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,454.71 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,165.95 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,165.95 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $16,218.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $7,585.78 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,949.84 / $3,715.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94