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South Dakota rates for HCPCS 0138U

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.83 / $327.83 / $327.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.50 / $933.50 / $933.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.67 / $850.60 / $1,063.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.01 / $530.29 / $859.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.85 / $281.00 / $921.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.35 / $856.46 / $1,026.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.00 / $856.46 / $1,026.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.71 / $1,128.34 / $1,286.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.70 / $238.85 / $468.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.33 / $468.33 / $468.33