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South Dakota rates for HCPCS 0133U

Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $524.81 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,659.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $776.25 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $416.87 / $3,467.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,621.81 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $794.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83