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South Dakota rates for HCPCS 0219U

Infectious agent (human immunodeficiency virus), targeted viral next-generation sequence analysis (ie, protease [PR], reverse transcriptase [RT], integrase [INT]), algorithm reported as prediction of antiviral drug susceptibility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $537.03 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44