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South Dakota rates for HCPCS 81175

ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.91 / $635.91 / $635.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.26 / $527.66 / $635.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.68 / $1,348.68 / $1,348.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.79 / $1,228.57 / $1,535.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.48 / $766.01 / $1,241.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.58 / $405.90 / $1,240.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.98 / $1,240.44 / $1,571.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.80 / $1,240.44 / $1,482.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.40 / $1,629.89 / $1,858.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.13 / $405.90 / $676.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.50 / $676.50 / $676.50