go back

South Dakota rates for HCPCS 81162

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie, detection of large gene rearrangements)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.25 / $1,715.39 / $1,715.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.00 / $1,715.39 / $2,737.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.05 / $3,638.05 / $3,638.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.41 / $3,314.92 / $4,143.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.42 / $2,450.10 / $3,350.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.93 / $1,276.66 / $3,754.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.88 / $3,999.38 / $4,975.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.86 / $3,717.89 / $4,762.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,609.58 / $4,396.68 / $5,013.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.45 / $1,276.66 / $1,824.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.88 / $1,824.88 / $1,824.88