go back

South Dakota rates for HCPCS 0287U

Oncology (thyroid), DNA and mRNA, next-generation sequencing analysis of 112 genes, fine needle aspirate or formalin-fixed paraffin-embedded (FFPE) tissue, algorithmic prediction of cancer recurrence, reported as a categorical risk result (low, intermediate, high)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,918.31 / $8,709.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,467.37 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,137.96 / $17,782.79
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
$5,128.61 / $8,317.64 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $4,168.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78