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South Dakota rates for HCPCS 0114U

Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett's esophagus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.73 / $1,821.73 / $1,821.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.47 / $1,511.65 / $1,821.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,863.92 / $3,863.92 / $3,863.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.62 / $3,519.90 / $4,399.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.10 / $2,194.41 / $3,557.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.39 / $1,162.81 / $3,813.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.86 / $3,544.14 / $4,247.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.61 / $3,544.14 / $4,247.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,771.35 / $4,669.25 / $5,324.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.96 / $988.39 / $1,938.01
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.01 / $1,938.01 / $1,938.01