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South Dakota rates for HCPCS 0136U

ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $457.09 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38