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South Dakota rates for HCPCS 81121

IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.04 / $278.04 / $278.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.18 / $251.42 / $278.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.48 / $589.48 / $589.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.78 / $537.25 / $671.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.16 / $334.92 / $543.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.85 / $177.47 / $542.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.70 / $542.36 / $657.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.95 / $542.36 / $648.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.98 / $712.65 / $812.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.23 / $150.85 / $295.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.79 / $295.79 / $295.79