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Hereditary Colon Cancer Gene Panel

South Dakota rates for HCPCS 0101U

Looks for an inherited tendency to develop colon cancer and the polyp conditions related to it. Fifteen genes are read letter by letter, and two further genes, EPCAM and GREM1, are examined for large duplicated or deleted stretches of genetic material. That makes seventeen genes in all.

Facilitymedian $1,995 · 10th–90th $813$2,7540%50%10th90th$1,995Professionalmedian $1,738 · 10th–90th $813$4,1690%10%10th90th$1,738$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,311.31
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,995.26
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$4,073.80
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80