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South Dakota rates for HCPCS 0258U

Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50-100 genes, skin-surface collection using adhesive patch, algorithm reported as likelihood of response to psoriasis biologics

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,168.69 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,079.46 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,548.13 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,187.76 / $18,197.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $8,511.38 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $4,265.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35