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South Dakota rates for HCPCS 81163

BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.92 / $439.92 / $439.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.56 / $365.04 / $439.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.85 / $932.85 / $932.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.77 / $849.95 / $1,062.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.70 / $529.91 / $859.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.68 / $280.80 / $858.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.91 / $858.12 / $1,198.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.60 / $858.12 / $1,025.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.24 / $1,127.55 / $1,285.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.56 / $238.68 / $468.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.00 / $468.00 / $468.00