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South Dakota rates for HCPCS 0220U

Oncology (breast cancer), image analysis with artificial intelligence assessment of 12 histologic and immunohistochemical features, reported as a recurrence score

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $549.54 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $851.14 / $1,698.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $3,548.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,862.09 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95