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South Dakota rates for HCPCS 0118U

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $2,089.30 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,248.07 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $13,803.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $6,456.54 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,659.59 / $3,162.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23