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South Dakota rates for HCPCS 0058U

Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $363.08 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $194.98 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $371.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59