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South Dakota rates for HCPCS 0334U

Oncology (solid organ), targeted genomic sequence analysis, formalin-fixed paraffin-embedded (FFPE) tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability and tumor mutational burden

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,744.42 / $2,744.42 / $2,744.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,277.29 / $2,345.00 / $2,744.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,027.24 / $6,356.97 / $7,946.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,755.52 / $2,755.52 / $4,638.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.00 / $1,751.76 / $5,745.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,161.72 / $4,550.00 / $5,745.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,161.72 / $4,907.81 / $5,745.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,175.03 / $8,172.85 / $9,615.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.23 / $1,489.00 / $2,919.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,500.00 / $3,500.00 / $3,500.00