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South Dakota rates for HCPCS 0080U

Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diameter, nodule-spiculation status and nodule location), utilizing plasma, algorithm reported as a categorical probability of malignancy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,454.71 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $6,760.83 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,981.07 / $16,595.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $4,265.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $9,772.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,089.30 / $4,677.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13