go back

South Dakota rates for HCPCS 0313U

Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression, pancreatic cyst fluid, algorithm reported as a categorical result (ie, negative, low probability of neoplasia or positive, high probability of neoplasia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,384.00 / $3,384.00 / $3,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.00 / $2,808.00 / $3,384.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,170.76 / $6,538.44 / $8,173.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,397.68 / $4,076.28 / $6,608.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,836.00 / $2,160.00 / $7,084.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,320.00 / $6,051.55 / $9,901.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,320.00 / $7,084.80 / $9,901.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,148.00 / $8,673.48 / $9,889.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.00 / $2,160.00 / $3,600.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.00 / $3,600.00 / $3,600.00