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South Dakota rates for HCPCS 0134U

Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), targeted mRNA sequence analysis panel (18 genes) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.87 / $523.87 / $523.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.30 / $1,492.30 / $1,492.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.34 / $1,359.78 / $1,699.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.33 / $847.40 / $1,373.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.68 / $449.03 / $1,472.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.75 / $1,368.62 / $1,640.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.07 / $1,368.62 / $1,640.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.20 / $1,803.10 / $2,055.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.32 / $381.68 / $748.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.39 / $748.39 / $748.39