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South Dakota rates for HCPCS 81191

Ntrk1 Translocation Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.87 / $194.87 / $194.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.90 / $161.69 / $194.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.22 / $413.22 / $413.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.50 / $376.67 / $470.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.65 / $234.74 / $380.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $124.39 / $380.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.77 / $269.50 / $454.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.77 / $347.88 / $454.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.45 / $499.47 / $569.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $105.73 / $186.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.31 / $207.31 / $207.31